2009, 03-20 Permit App: 09000666 Mechanical FixturesCommunity Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
pennitcenter(alsDokanevallev.org
n Commercial
srrE AnDBEss: 1 3\ 1 1 c R Sr
9- (0624
PERMIT NUMBER:
7 -
PERMIT FEE: 5
Residential
Building Owner S PST' to l7 U L O c K
Name: S a ME aQ v Phone: Fax:
Address: l 3 l t t, t to St S ttk Citycc e o V 14 L Y state: W let i Zip:
Contractor 1 t/ wv C
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Name: 1- \Z q t._ A V A t. LE phone: .- .2 % �O So`�CJ : / `O O "3 G o J c,R
Address: �D Lt �. q L O IO G L_ FL1z Q os City: CI - (yt, \ L �e 'F is State:.wQ i Zip: 9 9 O 2_6
License No: L V- 1 A. .� p az` t q 8.0 \?... City Business Lic:
Contact .. A es ,R U
t.
Name: 1 Phone: ^7 ( S -- s- 6 0 ` ctSL
DESCRIPTION OF WORK
11OF UNITS X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
1
X
312.00
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
350.00
6
USED APPLIANCE (1NSEC min. AFUE rating)
More than 400,000
X
3100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
320.00
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
X
310.00
16
MISC. FUEL BURNING APPLIANCE
X
310.00
17
GAS PIPING (each outlet)
I
X
$1.00
18
DUCT SYSTEMS
X
310.00
19
VENTILATING FANS
X
310.00
20
AIR HANDLER (DOES NOT indude ducting)
Equal to or less than 10,000 CFM
X
312.00
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
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
4-15 TON
X
$20 00
27
AIR CONDITIONER
15-30 TON
X
325.00
28
AIR CONDITIONER
30-50 TON
X
$35.00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
X
310.00
31
WOOD OR PELLET STOVE/INSERT
X
310.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR & ADDITIONS
X
315.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
319.00
37
INCINERATOR - COMMERCIAL
X
322.00
METHOD OF PAYMENT: u
CASH 0 CHECK Kp VISA El MC
k /
CARD t
AUTHORIZED SIGNATURE:
REVISED 826/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: