2005, 01-06 Permit App: 05000062 Gas Stovea� MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
�J For Inspections, Call (509) 688-0054
Project Address: 7•/ifs 4�2=-C
Owner: ->E -z't r3Cc�-e-'z.
Mailing Address: le --ti---` ;_, _
Contractor:
Mailing Address:
License #:
Permit Use:
Phone (Da
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
lime Contact):
gale Lip Gooe
Phone #:��'%7_-?
bye c tp Looe
AUTHORIZED SIGNATURE �� • �(`
DESCRIPTION OF WORK
# OF UNITS X
COST
= TOTAA,LL A-M!O,UNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$1200
= f7
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
3
UNLISTED APPLIANCE Additional Fee
Equal to or less than 400,000
X
$5000
=
4
UNLISTED APPLIANCE Additional Fee
More than 400,000
X
$100.00
=
5
USED APPLIANCE SEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
=
6
USED APPLIANCE SEC min. AFUE rating)
More than 400,000
X
$10000
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
=
9
BOILER/REFRIGERATION
501 - 1.000M BTU
X
$2500
=
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$35.00
=
11
BOILERIREFRIGERATION
More than 1,750M BTU
X
$6000
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$1000
= F 1
13
RANGE
X
$1000
=
14
DRYER
X
$10.00 =
15
FUEL BURNING WATER HEATER
X
$10.00 =
16
MISC. FUEL BURNING APPLIANCE
X
$10.00 =
��
17
GAS PIPING each outlet
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 1
$10.00 =
23
TYPE I HOOD
X
$5000 =
24
TYPE II HOOD
X
$10.00 =
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00 =
26
AIR CONDITIONER
3-15 TON
X 1
$2000 =
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 STOVEIINSERT
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:
❑ CASH PC11 HECK [:]VISA ❑ MC
CARD q'
DATE
EXPIRES: �l
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$3//5..00
I Td .O0
AUTHORIZED SIGNATURE �� • �(`