Loading...
2005, 09-22 Permit App: 05003487 Insert, Piping Permit Center ii 11707 E Sprague Ave,Suite 106 Sp©kane - `�* ' Spokane Valley,WA 99206 � ER' Valley (509)688-0036 FAX (509)688-0037x. Community Development www.snokanevallev.ore.com `;. Mechanical Permit Application o Commercial )(Residential ty SITE ADDRESS !i' /tom A 5Q,Jr.EC_4-)T Building owner "ee y, -pfY`c Name: /` f r Phone: Fax Address: I/ 7 /V aaAjj76eC..►i'w/n City .. .,,,,, ,_ii 1- 11' State 4.04- Zip 5l '.> Contractor 'Cgt.:6 L,.... " ' t7-1.-4-PAC- "14-4-C• It 4.16,,,'::: Name: R iuL 'fl )Crn)i„-- Phone: 53 Cil U/SCP Fax: /0253 Address: (;0 i ( C 9 l City -g PQe_/ jp State (...t..44_ Zip Pi2/7 License No: PILO kit.;A.0.(0(#'.. ( . City Business License No: ,_y4ytq p Contact. . t, ,.t.� , w �iu - , Name: 4` t, Phone: _ DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 = 3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X $50.00 = 4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 X $100.00 = 5 USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400,000 X $50.00 = 6 USED APPLIANCE(WSEC min.AFUE rating) 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' = /Cj ,CSG 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 = /• dCJ 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 I 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/1NSERT 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: SUBTOTAL OCASH 0 CHECK ISA 0 MC DATE: PROCESSING FEE $35.00 CARD#: EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05