2007, 03-20 Permit App: 07000853 AC Permit Center
_ 11707 E Sprague Ave,Suite 106 . PERMIT NUMBER:
40.0*ValleY Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development www.spokanevalley.ore.com
Mechanical Permit Application n Commercial n Residential
SITE ADDRESS: 13 0-1 E S - LI a_Te_l
Building owner Q ISS .L hu e S+Hti-ewA-s L,L
Name: b•e%-.t•.i S :.1 3 r f n Phone: Fax:
Address: tZ'3 t 3 t 21+._ A atm 10 E City: .G e- Si(.)-ek}' State: (iliA-- Zip: ¶R211
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Contractor Viu.(Ln..e_ V.Li...;: a (-ot.-tet L L C
Name: / kti 3 O I.t,e S Phone: 2 / '7 -/L f q-/ Fax: 34/3- 0 2.5-7
Address: 46C)S-" E f -_.,L City: $pc..?, State: (,I- Zip: 592 Z 3
License No: k J A L. ('A_E g i SS- k P City Business License No:
Contact rT 1 IAA_ 0 Al E S
Name: Phone: ,2 1-7- '-/4
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 at ( 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 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 FUEL BURNING WATER HEATER I X $10.00 _=
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) X $1.00 =
18 DUCT SYSTEMS X $10.00 =
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19 VENTILATING FANS .i 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 I X $50.00 =
24 TYPE II HOOD X $10.00 _
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 =
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 =
METHOD OF PAYMENT: SUBTOTAL
OCASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE $35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: REVISED 8/26/05