2005, 03-02 Permit App: 05000611 Water Heater SaTY cI� 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone
pokane Spokane Valley,WA 99206 509-688-0037-Fax
,.„.*Valley For Inspections, call 509-688-0054
'Mechanical Permit Application lQ 51-
PROJECT PERMIT
ADDRESS: 1 g Q I cl a. vA tt_ _ USE:
OWNERP -a 2.4 -1-0-1N. PHONE(Daytime Contact): 2_2_51_1*
MAILING ADDRESS:
(street) (city/state) (ZIP)
CONTRACTOR: LICENSE II:
SMITH HEATING & COOLING, INC, SMITHHC080R8
MAILING ADDRESS: PHONE#: 328-4431 FAX: 328-0749
E. 102 NORA SPOKANE WA 99207
(street) (city/state) (ZIP)
DESCRIPTION OF WORK 8 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) >900,000 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 539 -
10 BOILER/REFNGERATION 1001-1,750M BTU X $57 -
11 BOILER/REFRIGERATION +1750M BTU X $95 -
12 GAS LOG,GAS INSERT,GAS FIREPLACE - X $10 -
13 RANGE - X $10 -
14 DRYER - X $10 -
15 FUEL BURNING WATER HEATER - I X $10 - /0.0D
16 MISC FUEL BURNING APPL. - X $10 -
17 GAS PIPING(ea.Outlet) - X $1 -
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 519 -
22 EVAPORATIVE COOLERS - X $10 -
23 TYPE I HOOD - X S50 -
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 560 -
30 LPG STORAGE TANK - X $10 -
31 WOOD OR PELLET STOVE/INSERT - X $10 -
32 WOOD STOVE-FREE STANDING - X S25 -
SUBTOTAL: Jv,t`)
METHOD OF PAYMENT _ 4" PLUS PROCESSING FEE: $35.00
MUM i• ` TOTAL PERMIT FEE DUE 145,(JO
VISA • r 'astyl:
❑ CASH 1 CHECK ❑ 11111111111 EP_....... .-
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE: