2006, 09-25 Permit App: 06003828 Mechanical FixturesSpokane
Community Development
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.snokanevalle v.ors
Mechanical Permit Application ❑ Commercial
PERMIT NUMBER 3Y.2-)'
PERMIT FEE: ( f7c)
Residential
SITE ADDRESS:
Building Ower
Name:
k�S 1,., i_3 � /7 °P
Phone: 17 --3--- 5� c(0
Fax:
City. s-r-7ol/.�<-y
State: ,e...,..___,-,'
Zip:C/9 0 c .
Address: /i •
S (/ivsc><>
Contractor.
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Name: tT L co <c 7 -, --7-7A, G>
Phone: t�Z cr, -3 S'S /
Fax: c--7. C<
% 1 &
Address: %3v 6, -s-7 S
City. 5,,a)/e, ,---
State: 4__,'-
Zip: / Jz / 7
License No: C (e --f f� tj / Stj
City Business Lic:
Contact `
Name:
Phone:
DESCRIPTION OF WORK
N OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.0D
( 2._ , JJ
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.0D
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.0D
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 400,00D
X
$100.00
7
BOILER/REFRIGERATION
1-100MBTU
X
$12.00
8
BOILER/REFRIGERATION
101 - 50DM BTU
X
$20.00
9
BOILER/REFRIGERATION
501 - 1,0DOM BTU
X
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
560.00
12
GAS LOG. GAS INSERT, GAS FIREPLACE
X
510.00
13
RANGE
r
X
510.00
/v .vv
14
DRYER
X
$10.00
D cJ
15
FUEL BURNING WATER HEATER
.2-
x
$10.00
zv ,
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
17
GAS PIPING (each outlet)
X
51.00
16
DUCT SYSTEMS
X
$10.00
19
VENTILATING FANS
3
X
510.00
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
515.00
22
EVAPORATIVE COOLERS
X
510.00
23
TYPE I HOOD
X
550.00
24
TYPE I1 HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512.00
26
AIR CONDITIONER
3-15 TON
X
520.00
27
AIR CONDITIONER
15-30 TON
X
525.00
26
AIR CONDITIONER
30-50 TON •
X
$35.00
29
AIR CONDITIONER
More than 5D TON
X
560.00
3D
LPG STORAGE TANK
X
510.00
31
WOOD OR PELLET STOVE/INSERT
X
510.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
35
VENTILATION MECHANICAL EXHAUST
X
512.00
512.00
36
INCINERATOR - RESIDENCE
X
519.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑CASH 0 CHECK ;$j VISA ❑ MC EXPIRES:
CARD #
AUTHORIZED SIGNATURE:
REVISED 5P26/05
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
535.00