2006, 09-18 Permit App: 06003742 Gas Piping InspectycPKQ ! le 11707 E Sprague Ave, Suite 106
�va1ley
Spokane Valley, WA 99205
(509)685-0036 FAX: (509)655-0037
Commtmity Development
u`ntiv.spol:anavail e v.ora
Mechanical Permit Application
PERMIT NU-1\113ER: 0(0 - 37
PERMIT FEE:
Comii_nercial Residential
SITE ADDRESS:
BuildingOa-ner
Name: --gO
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166
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Phone'�l19 9p2
5777
Fax:
Address:12
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Contr*ctor'•
Name:
Phone:
Fax:
Address:
City.
State:
Zip:
License No:
City Business Lic:
Contact ' fir'
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Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
COST
= TOTAL AMOUNT
FUEL BURNING APPLIANCE
Equal to or cess than 100,000
X
512.00
2
FUEL BURNING APPLIANCE
More than 100,000
X
515.00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550.00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X $1DD.D0
5
USED APPLIANCE (WSEC min. AFUE rating)
Eoual to or Tess than 400,000
X
550.00
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400.000
X $1DD.D0
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
6
BOILER/REFRIGERATION
101 - 50DM BTU
X
520.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
x
$60.03
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
510.00
13
RANGE
X
510.00
14
DRYER
X
510.00
15
FUEL BURNING WATER HEATER
X
510.00
16
IJIISC. FUEL BURNING APPLIANCE
X
510.00
17
GAS PIPING (each outlet)
X
51.00
18
DUCT SYSTEMS
X
510.00
19
VENTILATING FANS
X
510.00
2D
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
512.00
21
AIR HANDLER (DOES NOT include ducting)
22
EVAPORATIVE COOLERS
23
TYPE I HOOD
24
TYPE II HOOD
Greater than 10,000 CFM
X
$15.00
X
$10.00
X
550.00
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512.00
26
AIR CONDITIONER
3-15 TON
X
520.00
27
AIR CONDITIONER
15-30 TON
X
525.00
25
AIR CONDITIONER
30-5D TON
X
535.00
29
AIR CONDITIONER
More than 5D TON
X
560.00
30
LPG STORAGE TANK
X
510.00
31
WOOD OR PELLET STOVE/INSERT
32
WOOD STOVE - FREE STANDING
33
REPAIR & ADDITIONS
x
510.00
X
525.00
X
515.00
34
VENTILATION SYSTEMS
X
512.00
35
VENTILATION MECHANICAL EXHAUST
X
512.00
36
INCINERATOR - RESIDENCE
37
INCINERATOR - COMMERCIAL
METHOD OF PAYMENT:
DCASH ❑ CHECK ❑ VISA D MC
CARD i
AUTHORIZED SIGNATURE:
P.EVISED 6h6'D5
EXPIRES:
VIN:
X
$19.00
X
522.00
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE: