2003, 10-06 Permit App: BLD-03-02681 FurnaceS lane
esolValley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106
Spokane Valley, WA 99206
509-688=0036- Phone
509-688-0037 - Fax
METHOD OF PA
❑ CASH 0
DESCRIPTION OF WORK
1 OF UNITS
X
PROJECT
ADDRESS: / 0 y„21
C
5-4-1
PERMIT
USE:
OWNER Sejor -
/ f
F n
irq
11 PHONE (Daytime Contact):
RI/-tgi1C
MAILING ADDRESS:
/0 Vol /
E s
¶pJkay-.c- UUdll 990200
(street)
FUEL BURNING APPLIANCE
(city/state)
(ZIP)
. X '
CONTRACTOR
•
LICENSE 1:
UNLISTED APPLIANCE (ADDrIIONAL FEE)
• OR <400,000
MAILING ADDRESS:-
X
550
PHONE 5:
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,00D
(street)
5100
. (city/state)
(ZIP)
5
USED APPLIANCE (WSEC min. AFUE rating)
• or 6400,000
X.
, 550
METHOD OF PA
❑ CASH 0
4
DATE: EXPIRES:
BANKCARD NUMBER'
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
1 OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
. • OR < 100,000
t
X
' $15
IS, OU
2
FUEL BURNING APPLIANCE
> 100,000
. X '
' 519
•
3
UNLISTED APPLIANCE (ADDrIIONAL FEE)
• OR <400,000
X
550
•
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,00D
X .
5100
•
5
USED APPLIANCE (WSEC min. AFUE rating)
• or 6400,000
X.
, 550
•
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
5100
•
7
BOILER/REFRIGERATION
1- 100M BTU
X
515
-
8
BOILER/REFRIGERATION
101- 500M BTU
X
$29
•
9
BOILER/REFRIGERATION
501- 1,000M BTU
X
$39
•
10
BOILER/REFRIGERATION
1001- 1,750M BTU
X
557
•
11
BOILER/REFRIGERATION
+1750M BTU
X
595
•
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
510
•
13
RANGE
-
X
510
•
14
DRYER
-
X
510
•
15
FUEL BURNING WATER HEATER .
-
-
X
$10
•
16
MLSC FUEL BURNING APPL
-
X
510
. •
17
GAS PIPING (ea. Outlet)
-
X
51 ,
-
18
DUCT SYSTEMS
-
X
510
•
19
VENTILATING FANS
-
X
510
•
20
AIR HANDLER (DOES NOT include ducting)
•OR<10,000CFM
X
512
•
21
AIR HANDLER (DOES NOT Include chiding)
>10,000 CFM
X
519
-
22
EVAPORATIVE COOLERS
-
X
510
--
2T
TYPE IHOOD
-
X
550
•
24
TYPE B HOOD
-
X
510
-
25
HEAT PUMP/AIR CONDRIONER
0-3 TON
X
512
•
26
ABU CONDMONF,R
3-15 TON
X
520
•
27
AIR CONDITIONER
15-30 TON
X
525
•
29
AIR CONDITIONER
30-50 TON
X
535
•
29
AIR CONDITTONER
•50 TON
X
560
•
30
LPG STORAGE TANK
-
X
510
•
31
WOOD OR PELLET STOVE/INSERT
-
X
' 510
•
32
WOOD STOVE -FREESTANDING
-
X
525
•
fENT
Ms -Etat
..-^' ^
SUBTOTAL:
/5 a0
PLUS PROCESSING PEE
$35.00
TOTAL FERMI/ FEE DUE: ,so, 00
4
DATE: EXPIRES:
BANKCARD NUMBER'
AUTHORIZED SIGNATURE: