2007, 11-26 Permit App: 07004666 FurnacePermit Center
S��rO7'A„e 11707 E Sprague Ave, Suite 106
p kan Spokane Valley, WA 99206
.000/0°valley (509)688-0036 FAX: (509)688-0037
Community
evall ev.ore
Development
Mechanical Permit Application D Commercial
SITE ADDRESS:
//s07 - 9Nv16uo C�
PERMIT NUMBER: L - (-1 ,6f
PERMIT FEE: is 1. 'vC'
Residential
Building Owner
Name: Phone: Fax:
City:spoi,440.45LA State: LA.l"s Zip: 9902.66
Address: i / % C N l oW' e_ i %1-
5z) 71 j t t
Contractor
Name: Phone: Fax:
Address:�6 01,101.1(yam City: Spok,ins t-c� State: 1� Zip: 95.2(2..
f7
License No: f) i Rp et 990 c..rV3 City Business Lic:
Contact
,/
Name. t�' Phone: qQf 9' 6,Cyi/
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
$12.00
=
/a . v-0
1
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
2
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
=
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 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
4-15 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:
OCASH 0 CHECK 0 VISA 0 MC EXPIRES:
VIN:
SUBTOTAL
/J- o °
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
%. cO
AUTHORIZED SIGNATURE:
REVISED 8/26/05