2003, 07-02 Permit App: BLD-03-02018 Heat Pump, AC Spola'I't11707 East Sprague Avenue, Suite 106 509-688-0036-Phone
.iie Spokane Valley,WA •99206 509-688-0037-Fax
,.,0i Valley For Inspections, call 509-688-0054
-Mechanical Permit Application
PROJECTi// /
ADDRESS: 7Z9QS, L✓� �G D�f USE r ii' C
OWNER
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MAILING ADDRESS:
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(street) (city/state) (ZIP)
CONTRACTOR / _ / (/ P� /!/ LICENSE S: /'//l/ It. 972 //4
MAILING ADDRESS: dN��/ J_ T p G 1/T 9Ic /C
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(street) (city/state) (ZIP)
DESCRIPTION OF WORK #OFUNITS 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 l X $50 .
6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X $100 .
7 BOILER/REFRIGERATION I-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
13 RANGE - X $10 .
14 DRYER - X $10
15 FUEL BURNING WATER HEATER - X $10
16 MISC.FUEL BURNING APPL. - X $10 .
17 GAS PIPING(ea.Outlet) - X $l .
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 $10
23 TYPE I HOOD - X $50 .
24 TYPE II HOOD - X $10
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 . 17
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 $60 .
30 LPG STORAGE TANK - X $10
31 WOOD OR PELLET STOVE/INSERT - X $10 .
32 WOOD STOVE-FREE STANDING - X $25 .
SUBTOTAL:
METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00
ite..154• TOTAL PERMIT FEE DUE: -7-ad
77:7 c:El CASH ❑ CHECK ❑ El -- ....=."_
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: