2008, 07-22 Permit App: 08002831 Mechanical Fixtures Permit Center
"''' ^ 11707E Sprague Ave,Suite 106 sr.
S�Or�i1�`�e'` PERMIT NUMBER: g ��U>
j val Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037 PERMIT FEE: ce (-----'--
Community Development www.spokanevallev.org
Mechanical Permit Application ❑ Commercial ❑ Residential
SITE ADDRESS: 2--5kI N. v1'5+a_
Building Owner
Name: Q we v e �, aks Phongr)Z$ 5G-7 Fax:
Address: 5 L l to. U r5kik City:T5C.pO. u t State: w A Zip:di 3,e4 2_.
PZ vim- _1! t , ,1 � * 14-C...Name: 1 C�"T� Phone: 92g,�2532_ Fax: ?Z Q_, 3 57 42
Address: `I 400 S I. tGln� City: 7 VI
✓y State: LA...)A. Zip: �q��
License No:,e/4 E R�rQ I AF A 9I/40 K City BusiBess Lic: /...076075z. J,.L
o o 760 3
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Contact g
Name: e1 Phone: 9�8 353z_
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 GAS APPLIANCE Equal to or less than 100,000 / X $12.00 = I 2.-P-9-
2
2 GAS 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 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 GAS WATER HEATER X $10.00 =
16 MISC.GAS APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) Z 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 HOODX $10.00 =
25 HEAT PUMP/AIR CONDITIONER 0-3 TON / X $12.00 = /7_00
26 AIR CONDITIONER 3-15 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 = at,
12.2
METHOD OF PAYMENT: SUBTOTAL
❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: PROCESSING FEE $35.00
/
CARD#: VIN: TOTAL PERMIT FEE DUE: 4,1' O
AUTHORIZED SIGNATURE:
REVISED 8/26/05