2004, 10-14 Permit App: BLD-04-07918 Heater MECHANICAL PERMIT APPLICATION
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City of Spokane Valley Comrnunit9 Development Department
111114 BuildrngDivision
11707 E.Sprague Avenue, Suite 106
e - Spokane Valley, WA 99206
40,,Vaily . Phone: (509)688-0036;Fax: (509) 688-0037
FOR INSPECTIONS,.CALL(509) 688-0054
Project Address: /1308 E l. /r Permit Use: G'4s }-JA--E A.-
. 'Owner.. Eyrn-E-7r-r t-, iiAai,1ErL Phone(Daytime Contact): sag) 9,t4-7...1AD
• Mailing Address: -5.9M F 5 Pial:III E VA LI- y ,
City ii�l �z0�to , Zip Code
Contractor. License#: Phone#:
Mailing Address: •
City State Zip Code
DESCRIPTION OF WORK , UNITS X COST - a AMOUNT
,
I FUEL BURNING APPLIANCE Equal to or less than 100,000 1 X $15.00 . = ( t 0
---- 2 • FUEL-BURN PLIANc. More than 100,000 X $19.00 =
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 =
USED APPLIANCE(WSEC min.AFUE
5 rating Equal to or less than 400,000 X $50.00 --
• USED APPLIANCE(WSEC min.AFUE
8 , rating) More Ihart 400,000 X $100.00 =
7 BOILER/REFRIGERATION 1-t00M BTU • X $15.00 L _
a . BOILER/REFRIGERATION 101-500M BTU X $28.00 = -
9 BOILER/REFRIGERATION 501-1,000M BTU X $39.00 . _
10 BOILER/REFRIGERATION 1,001-1,750M BTU X $57.00 =
11 ' BOILERFREFRIGERATTON More than 1,750M BTU X $95.00 = •
12 GAS LOG,GAS INSERT,GAS FIREPLACE • X $10.00 =
13 RANGE X $10.00 =
14 DRYER X $10.00 =s.
- _
15 FUEL BURNING WATER HEATER • X $10.00 =
• 16 MISC.FUEL BURNING APPLIANCE X $10.00. =.
1
17 GAS PIPING(each outlet) X $1.00 =
ISI 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 $19.00 a
22 EVAPORATIVE COOLERS ' X $10.00 =
23 TYPE t HOOD • X $50.00 =
24 TYPE II HOOD
X 510.00 =
25 HEAT PUMP/AIR CONDITIONER . ' t}.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 f AIR CON DFTIONER More than 50 TON X $60.00 =
30 • LPG STORAGE TANK . X $10.00 =
31 WOOD OR PELLET STOVE/INSERT X $10.00 = .
32 L WOODSTOVE-FREE STANDING ' X $25.00 =
METHOD OF PAYMENT: SUBTOTAL • 1 5-, b
Cr CASH 0 CHECK 0 VESA ID MC DATE: PROCESSING FEE $35.00
CARD# • EXPIRES: TOTAL PERMIT FEE DUE: •60
•
AUTHORIZED SIGNATURE: