2009, 08-18 Permit App: 99002575 Insert RECEIVED 0811812009 12:39 5096880037 SV PERMIT CENTERFR
' 9
08118/2009 12:32 5099289029 FALCOS PAGE 01101
4/2. , . .• MECHANICAL PERMIT APPLICATION •
,11,;1, Community Development Department
,I , SpokanePhone:(509) 688-0036; FAX: (509) 688-0037 Building DivisIm
For Inspections;Call (509) 688-0054 11707 E. SpragueAvenue, Suite921)6
Valley,WAA99206
Project Address: i g 22O E 4' P 4—
Owner: Permit Use: C
MaiRD Q� , e Arer Phone
g Address: s uY7c (daytime Contact): 1�—"7 g 1
Contr ctori-�'-mora ..�.�..,. -.� Ph fa":7)-: p L1�n z� coa` 3 la
Mailing Address: license�#: Phone#; $tf - a
9ro s ��� 1441".'"-r- Z�-.Sett
•
�. 'I q..51 Df+ ci� �171�+4f0e, �C".? Stall 4G�ft`Sfl
DESCRIPTION OF WORK Zip Cod+ ' 2D�
#OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE
E•ural to or loss than 100,000 X $12.00 -
2 FUEL BURNING APPLIANCE
More than 100 000 X $1$,00 -
3 UNLISTED APPLIANCE(Additional Fee)
Equal to or legs Uten.400,000 X $50,00
4 UNLISTED APPLIANCE Additional FCCMore then 400,000 X !$10 IS
'
5 USED APPLIANCE: SEC min.AFUE rating) • Ethan quel to or then 400,000
8 USED APPLIANCE(WSEC'rhin,AFUE rallnX $50A,$
0 111
9 Mora than 400,000 X $100,00
7 BOILER/REFRIGERATION..
.1-100M BTU X $12.00
$ BOILEIYREFRIGERATION 101-500M•BTU
Mil 11
9 BOILER/REFRIGERATION X 20,00
501•1,000M BTU X $26,00
10 BOILER/REFRIGERATION 1,G01-1,750M Ti9
11 901LER/REFRIGCRATION X $ 00 a O Z
More than 1,750M BTU X $8060.00to •0 0
12 GAS LOG GAS INSERT.GAS FIREPLACE MEI
13 RANGE
X armee l i� c N O
il‘ X $10,00 u p
14 DRYER
•
X , $10.00
15 FUEL BURNING WATER BEATER u co
X 110,00 a 03
16 MISC.FUEL BURNING APPLIANCE -0 a+ `
X $10.00 3
17 GAS PIPING each outlet - c m D.
X $1.00 u - "0
18 DUCT'SYSTEMS ,__. I.=
a y
X $10.00 -a ," >'
19 VENTILATING FANS
Q, o
•
X $10,00 :: v m
20 AIR HANDLER DOES NOT Include ductln. E•usl to Or less than 10,000 CFM 11
• a
21 AIR HANDLER(DOES NOT include quCin•) Greater then 14.000 CFM X $i2 00 u 0 m
22 EVAPORATIVE COOLERS
X $10,00I ______ �,N C
A!
23 TYPE I HOOD X $10,00
X $50.00 • 3 0
24 TYPE II HOOD O u "a
X $10,00 �, t co
25 HEAT PUMP/AIR CONDITIONER 0.3 TON 3 c
c
26 AIR CONDITIONER X $1z.0o
3-15 TON X $20.00 u 5 •o M
•
O
27 AIR CONDITIONER 15.30 TON _ -LI, 0
$25,00 r I
28 AIR CONDITIONER 30,50 TON RillL e4
to
AIR CONDITIONER' $$5'00
—
More than 50 TON El m
30 LPG STORAGE TANK X 60.00
31 WOOD OR PELLET STOVE/INSERT I $10.00 ff
32 WOOD '�I r®_ I
STOVE-FREE STANDING
33 REPAIR&ADDITIONS •
se& 2./o
34 VENTILATION$YST tp►$ $15.00
3$ VENTILATION MECHANICAL EXHAUST $12.00
3$ INCINERATOR-.RESIDENCE
�� $12.00
—
37 INCINERATOR-COMMERCIAL X $49.00 c
----
METHOD OF PAYMENT; - X $22.00 =
I
SUBTOTAL I r
E]CASH 0 chivittkuitb DA-IREDACTE R PROCESSING FEE L'a
CARD#; 3 F,XPIRES TOTAL PERMIT FEE DUE. 1+&
.AUTHORIZED SIGNATURE: • ��