2004, 05-20 Permit App: BLD-04-04399 Mechanical Fixturesdo,Valley
Project Address: (-JO/ I F' 9 4
Owner, if/ C-vv4JLc ..TT��,
Mailing Address: Iced 1 C 97
Contractor AWE l-LAMC /-J/r_ License#:
Mailing Address: (poll E @A
•
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
Phone (Daytime Contact):
City State
13(!9L`FNaruov+r Phone #:
S
Zip Code
53c. •ctt.
c
State
AUTHORIZED SIGNATURE:
Zip Code
DESCRIPTION OF WORK
MOF
UNITS
X
COST
•
TOTAL
AMOUNT
1
FUEL BURNINGAPPLIANCE
Equal Nmthan anl00000
/
X
515.00
=
//5-.0G
2
FUEL BURNING APPLIANCE
More than 100000
X
519.00
=
3
UNUSTED APPLIANCE (Addfonal Fee)
Equal to or less Nan 400,000
X
550.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
5100.00
=
5
USED APPLIANCE (WSEC mm. AFUE
rating)
Equal N or less man 400000
X
550.00
=
B
USED APPLIANCE (WSEC Mn AFUE
rating)
More than 400,000
X
$100.00
=
7
BOILER/REFRIGERATION
1- 100M BTU
X
515.00
=
8
BOILER/REFRIGERATION
101- 500M BTU
X
528.00
9
BOILER/REFRIGERATION
501-1.000MBTU
X
539.00
=
10
BOILER/REFRIGERATION
1.001- 1 750M BTU
X
557.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
595.00
=
12
GAS LOG. GAS INSERT, GAS FIREPLACE
X
510.00
=
19
RANGE
X
510.00
14
DRYER
X
510.00
=
15
FUEL BURNING WATER HEATER
X
510.00
=
18
MISC. FUEL BURNING APPLIANCE
X
510.00
17
GAS PIPING Mach outlet)
/
X
51.00
=
I'Gr-)
10
DUCT SYSTEMS
X
510.00
19
VENTILATING FANS
X
510.00
=
20
AIR HANDLER (DOES NOT Include during)
Equal to or less than 10000 CFM
X
$12.00
21
AIR HANDLER (DOES NOT Include ducting)
Greater than 10,000 CFM
X
119.00
22
EVAPORATIVE COOLERS
X
510.00
=
29
TYPE I HOOD
X
550.00
24
TYPE II HOOD
X
510.00
25
HEATPUMPLaR CONDITIONER
0-3 TON
X
512.00
=
28
AIR CONDITIONER
3-15 TON
X
520.00
=
27
AIR CONDITIONER
1530 TON
X
525.00
28
AIR CONDITIONER
30-50 TON
X
535.00
=
29
AIR CONDITIONER
More than 50 TON
X
580.00
=
30
LPG STORAGE TANK
X
510.00
=
31
WOOD OR PELLET STOVE/INSERT
X
510.00
=
32
WOOD STOVE - FREE STANDING
X
525.00
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MC
CARD M,
DATE'
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE
AUTHORIZED SIGNATURE:
Zip Code