2006, 05-22 Permit App: 06001940 Mechanical Fixtures Permit Center
Sja" Qe 11707 E Sprague Ave,Suite 106 PERMIT NUMBER: 1-1t,L)
Vti.11ey Spokane Valley,WA 99206
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(509)688-0036 FAX:(509)688-0037 PERMIT FEE: t` ,-
Community Development www.sookanevailev.or2
Mechanical Permit Application/ E] Commercial ❑ Residential
SITE ADDRESS: ;F�L"./-, (-26/ '` �/La,,i ,/q1
Building Owner
Name: /ti/44//ge 7' 4/R/,06 9f Phone: -.1/_a6, $'5/ Fax:
Address: /06a o/ .- %n/..if/ City: State: Zip:
Contractor:. - C�
Name: Phone: Fax:
Address: City. State: Zip:
License No: /-/a --4( U_3 s-c11-1 City Business Lie:
Contact -
Name: Phone:
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 =
2 FUEL BURNING APPLIANCE More than 100,00D 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 400,00D X $100.00 =
7 BOILER/REFRIGERATION 1-100M BTU _ X $12.00 =
B BOILER/REFRIGERATION 101-50DM 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 7 X $10.00 =
14 DRYER ....4 X $10.00 =
15 FUEL BURNING WATER HEATER X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) ,L X • $1.00 =
18 DUCT SYSTEMS / X $10.00 =
19 VENTILATING FANS . 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 X $50.00 =
24 7YPE 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 EXPIRES: PROCESSING FEE $35.00
CARD#: VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 626/0$