Loading...
2003, 11-20 Permit App: BLD-03-03131 Plumbing Fixtures SCITY( l�ry 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone pokane Spokane Valley,WA 99206 509-688-0037-Fax ,,,r.Vtlley. Mechanical Permit Application PROJECT PERMIT ADDRESS: 66 t 9AI A/ - USE: OWNER: PHONE (Daytime Contact): SEL-v /2,41 A., MAILING ADDRESS: /j ( / ( I -'Zl-Z (street) (city/state) (ZIP) CONTRACTOR: ,A �- �G����� LICENSE#: MAILING ADDRESS ( j PHONE It: S /- i`9c)`-4 • � D-2( Gi (/sly gi •5,0 /4,c' r...,4 0ti2._iZ (street) (ci /state) (ZIP) DESCRIPTION OF WORK 8 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE =OR<100,000 X ' $15 - 2 FUEL BURNING APPLIANCE >100,000 X $19 - 3 UNLISTED APPLIANCE(ADDITIONAL FEE) -OR<400,000 X S50 - 4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $100 - 5 USED APPLIANCE(WSEC min.AFUE rating) =or<400,000 X , $50 - 6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X $100 - 7 BOILER/REFRIGERATION 1-100M BTU X $15 - 8 BOILER/REFRIGERATION 101-500M BTU X $28 - 9 BOILER/REFRIGERATION 501-1,000M BTU X $39 - 10 BOILER/REFRIGERATION 1001-1,750M BTU X $57 - 11 BOILER/REFRIGERATION +1750M BTU X $95 - 12 GAS LOG,GAS INSERT,GAS FIREPLACE - X $10 - 13 RANGE - X $10 - 14 DRYER - X $10 - 15 FUEL BURNING WATER HEATER - X $10 - 16 MISC.FUEL BURNING APPL. - X $10 - 17 CAS PIPING(ea.Outlet) - X $1 - 18 DUCT SYSTEMS - X $10 - 19 VENTILATING FANS - X $10 - 20 AIR HANDLER(DOES NOT include ducting) -OR<10,000CFM X $12 - 21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM X $19 22 EVAPORATIVE COOLERS - X $10 - 23 TYPE I HOOD _ - X $50 - 24 TYPE II HOOD - X $10 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 - 26 AIR CONDITIONER 3-15 TON X $20 - 27 AIR CONDITIONER 15-30 TON X $25 = 28 AIR CONDITIONER 30-50 TON X $35 - 29 AIR CONDITIONER +50 TON X $60 - 30 LPG STORAGE TANK - X $10 - 31 WOOD OR PELLET STOVE/INSERT - X $10 - 32 WOOD STOVE-FREE STANDING - X $25 - SUBTOTAL: METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00 gyp{ TOTAL PERMIT FEE DUE: ❑ CASH ❑ CHECK ❑ El ---. DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: