2008, 06-02 Permit App: 08002062 Mechanical Fixtures f .-
Permit Center f
11707E Sprague Ave,Suite 106 `j r - ,� -t)
��}(jkRRr PERMIT NUMBER: ���JJJ
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Ldl Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037 PERMIT FEE: �}q, rj
Community Development :�"" t, r
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Mechanical Permit /Application El Commercial EN Residential
SITE ADDRESS: ,r.'2 5! g 6 ' '+ 4 er/ewe / ] V e
Building Owner y-�
Name: (,e or see -Iir to mp`JOn Phone: .7 7 -3 )CD Fax:
Address: 41,_ 5 l 6 7-,144- b f r/ Pie Dr City: Ve rad a l.e state: Zip:49.0B 7
Contractor i/ /� -t- (, p / ^� �+
Name: l�O C 1'1 C ree K t .L_Vl c , Phone: M T-9o2 O 4 Fax: 509- 9'% /T / 5-
Address:
-Address: 6 ox 1.6 -Z. City:RQ c UNIV State: `-c"-- (^) Zip: E` g
License No: City Business Lie: 2J
Contact
Name: Phone:
DESCRIPTION OF WORK I OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 10,00 Ste
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 mise.AFUE rating) Equal to or less than 400,000 X $50.00 =
6 USED APPLIANCE(WSEC mat_AFUE eatuig) 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 RANGEX $10.00 =
14 DRYER X $10.00
15 FUEL BURNING WATER HEATER O X $10.00 = /Q 1 6 O
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 I1 HOOD , X $10.00 =
I
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = % a PD
26 AIR CONDITIONER 3-15 TON X $20.00
27 AIR CONDITIONER 15-30 TON X $25.0 =
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 SYSTEMSX $12.00 =
35 VENTILATION MECHANICAL EXHAUST X $1200
36 INCINERATOR-RESIDENCE X $19.00 =
37 INCINERATOR-COMMERCIAL X $22'0
METHOD OF PAYMENT: - SUBTOTAL
❑CASH ❑CHECK VISA 0 MC EXPIRES: PROCESSING FEE $35.00
VIN:
CARD#. TOTAL PERMIT FEE DUE: 5/.6°
AUTHORIZED SIGNATURE:
REVISED 8/26/05 (. .V c