2003, 11-17 Permit App: BLD-03-03088 Gas Stove, Piping tlTt tx ar 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone
Spokane Valley,WA 99206 509-688-0037-Fax
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•Mechanical Permit Application 3Ogsg/
PROJECT • PERMIT
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MAILING ADDRESS: -• PHONE#:
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DESCRIPTION OF WORK #OF UNITS X COST EQUALS AMOUNT
1 FUEL BURNING APPLIANCE =OR<100,000 X ' $15 =
2 FUEL BURNING APPLIANCE >100,000 X $19
3 UNLISTED APPLIANCE(ADDITIONAL FEE) =OR<400,000 X $50 =
4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $100 =
5 USED APPLIANCE(WSEC min.AFUE rating) =or<400,000 X • $50
6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X $100 =
7 BOILER/REFRIGERATION 1-100M BTU X $15
8 BOILER/REFRIGERATION 101-500M BTU
X $28
9 BOILER/REFRIGERATION 501.1,000M BTU X $39 =
10 BOILER/REFRIGERATION 1001-1,750M BTU X $57 =
11 BOILER/REFRIGERATION +1750M BTU X $95 =
12 GAS LOG,GAS INSERT,GAS FIREPLACE — / X $10 - ,i17).0
13 RANGE — X $10 =
14 DRYER — X $10
15 FUEL BURNING WATER HEATER — - X $10
16 MLSC.FUEL BURNING APPL. — X $10
17 GAS PIPING(ea.Outlet) —
5�f X $1 4,4::g `-7--- -
18 DUCT SYSTEMS — X $10
19 VENTILATING FANS — X $10 =
20 AIR HANDLER(DOES NOT include ducting) =OR<10,000CFM X $12 =
21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM _ X $19
22 EVAPORATIVE COOLERS — X =
23 TYPE I HOOD — X $50 =
24 TYPE II HOOD — X $10 =
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 =
26 AIR CONDITIONER 3-15 TON X $20 =
27 AIR CONDITIONER 15-30 TON X $25 =
28 AIR CONDITIONER 30-50 TON X $35
29 AIR CONDITIONER +50 TON X S60
30 LPG STORAGE TANK — X $10
31 WOOD OR PELLET STOVE/INSERT — X $10 =
32 WOOD STOVE-FREE STANDING — X $25
SUBTOTAL: 2N'nO
METHOD OF PAYMENT -
_ PLUS PROCESSING FEE $35.00101.11110
;Vast_ TOTAL PERMIT FEE DUE (r 7 ro
❑ CASH ❑ CHECK ❑ ❑ : _== 1
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: