2007, 12-28 Permit App: 07004986 Mechanical FixturesInokan� e\"`
Permit Center
11703 E Sprague Ave, Suite B-3
'^ Spokane Valley, WA 99206
jgl�Gy. (509)688-0036 FAX: (509)688-0037
Community Development
Mechanical
Mechanical Permit Application ❑ Commercial ®Residential
PERMIT NUMBER: T9 (�
PERMIT FEE: 6 E -
SITE ADDRESS:14906 E. Wellesley Ave., Spokane Valley, WA
Building Owner
Name: Don Raeder
Phone:509-217-1202
Fax: 509-590-4837
Address: 4326 S. Dorset Rd
City: Spokane
State: WA
Zip: 99224
Contractor
Name:
4--10 >.. X^ e/-
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name: Don Raeder
Phone: 509-217-1202
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
2
FUEL BURNING 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
9
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
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
1
x
$10.00
/v
/0
14
DRYER
X
$10.00
15
FUEL BURNING WATER HEATER
16
MISC. FUEL BURNING APPLIANCE
17
18
GAS PIPING (each outlet)
DUCT SYSTEMS
19
VENTILATING FANS
X
$10.00
X
$10.00
X
$1.00
3
X
$10.00
X
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
21
22
23
24
25
26
27
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
Greater than 10,000 CFM
X
$15.00
X
$10.00
TYPE H000
TYPE II HOOD
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$50.00
AIR CONDITIONER
4-15 TON
X
X
X
$10.00
$12.00
$20.00
AIR CONDITIONER
15-30 TON
X
$25.00
28
29
AIR CONDITIONER
30-50 TON
X
$35.00
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
33
WOOD STOVE - FREE STANDING
X
$25.00
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
x
$12.00
35
36
37
VENTILATION MECHANICAL EXHAUST
X
$12.00
INCINERATOR - RESIDENCE
X
$19.00
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
['CASH ❑ CHECK 0 VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
Effective 10-2B-07
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
P:\Community Development\Forms\Building forms Mechanical Permit Application.doc