2004, 09-10 Permit App: BLD-04-07628 Mechanical FixturesProject Address:
Owner. Pte.
Mailing Address: SA ..,..,.
Contractor:
Mailing Address:
MECHANICAL PERMIT APPLICATION
City of Spokane Vagey Community Devatopmant Department
BuitdrngDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone. (509) 588-0036; Fax (509) 688-0037
FOR INSPECTIONS,. CALL (509) 688-0054
Permit Use:
Phone (Daytime Contact): qir
EA
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
/ OF
UNITS %
COST
TOTAL
AMOUNT
1
FUELBURNWGAPPLWNCE
EUNbotb859MntW000
X
$15.00
S- O
2'
FUEL BURNWGPPPL9INCE — _...
61a — 000 _ -
_ _ x-
518.00
=
3
UNLISTEDAPPLIANCE dN Fee
E [W.Ie lAan400000
X
55000
4
UNLISTED APPLIANCE QNon [
Mae emn 400000
X
5100.00
5
USED APPLWNCE (WSEC mh AFUE
rtitvIb
aleaailtan 000
%
:50.00
e
US
USED APP L4 W CE rNSEC Mn AFUE
More BMndm mo
x
s19o.o0
T
BOILERAiEFRGERATION
1-100M BTU -
x
MW
-
B
BOKERRtEFRGERATION
101-WM BTU
x
528.W
9
BOILERRtEFRIGERATION
501 -1000M BTU
%
$30 W
10
BOILEIVREFRGERATION
1,1101 -1 TSOM BTU
X
SST.O
It
BOB.EILREFRGERATION
Maeban125UMBTIN
X
MM
-
12
GAS LOG GAS INSERT GAS FIREPIACE
X
$10.00
13
RANGE
X
510,00
-
14
DRYER
X
80.00
15
FUEL BURNING WATER HEATER
x
M W
-
18
NUSC. FUEL BURNING APPLIANCE
X
S1000
17
GASPIPING ewA tl
X
51,90
-D
18
DUCT SYS s
x
$1000
19
VENTILATING FANS
X
$10.00
-
20
AIR HANDLER POES NOT OxJUEe Judd
Equal b or leu Nu 10,000 CFM
x
51200
21
AVRHANDUSRVDOESNQTIMa du
GmaWVwI10000CFM
X
919.00
22
EVAPORATIVE COOLERS
x
S10.00
-
23
TYPEIHOOD
x
550.00
24
TYPE It HOOD
x
$10.00
-
25
HEATPUNIWAMCONDITGNER
- Im TON
x
$12.00
26
AIR MIND Ell
3-15TON
x
mm
-
27
AIRCONDt ORM
153p1014
X
V5.00
-
28
AIR CONDITIONER
3050TON
%
sm.0
-
29
AIR CONDITIONER
140re81an50TON
x
58000
-
W
LPG STORAGE TANK
X
$10.0
31
ROOD OR PELLET STOVEBNSERT
X
$10.00
-
32
w0013 OVE-FREESTANDING
x
$25.00
METHODOF PAYMENT:
D CASH []CHECK ❑ VGA ❑ MC
CAROM
DATE'
EXPitES'
SUBTOTAL
PROCESSING FEE
TOTALPERMRFF DUE
I '�
535.00
. lid
AUTHORIZED SIGNATURE: