2005, 10-13 Permit App: 05003814 Inserts '
�va1ley
Permit Center
11707 E Sprague Ave, Suite 106
Spokan WA 99206 '
(50 88-0036 FAX: (509)688-0037
Community Development www.spo anevalley.or:2.com
Mechanical Permit Application
❑ Commercial
PERMIT NUMBER:3 1
PERMIT FEE: -,_
J
Residential
SITE ADDRESS: 4k 5, StJ4nVb/) ,( lane.
Building owner
Name: A,h P
.'. Gr' l/
Phone: , 6 -eq- oZ 57- O g, Fax:
Address: cgt`V
5, 5G -1K y6Mk 4 _
City: Seo kacLe_ State:
(4,1)¢
Zip: 9163=7z -
%037ZContractor
Contractor
Name:
Phone: Fax:
Address:
City: State:
Zip:
License No:
City Business License No:
Contact
Name:
Phone:
I -
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
2
FUEL BURNING APPLIANCE
Equal to or less than 100,000
More than 100,000
X
X
$12.00
$15.00
3
4
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
More than 400,000
X
$100.00
5
6
USED APPLIANCE (WSEC min. AFUE rating)
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
More than 400,000
X
$100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
x
$10.00
477
13
RANGE
X
$10.00
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
X
$1.00
18
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE HOOD
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
3-15 TON
X
$20.00
27
AIR CONDITIONER
15-30 TON
X
$25.00
28
AIR CONDITIONER
30-50 TON
X
$35.00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
CI CASH CHECK ❑ VISA Cl MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05