HomeMy WebLinkAbout2005, 02-01 Permit App: 05000292 Heater, Piping walk
/'� MECHANICAL PERMIT APPLICATION Cie 410•., - 1. •artment
a� \ �` Buildi g r ision
'�""'"�Val leY Phone: (509) 688-0036; FAX:409)1688-006
09)1 88-00 ,' 1717 E. Sprague 'venue Suite 106
For Inspections, �Call (509) 688-0054 1. Spokane Va A 99206
Project Address:
/0/ 2y j2U�!; C� Pe mit Use:
Owner: 0 i- one (Da ime Contact): - I
Mailing Address: ` - 7—' ' ' • 2 h'lc- �0 ide 9'9
Al- Cdy State Zip Code
Contractor: T e---c-sr 0 A .t . I License#: ft( CO �1'7 - Phone#: i , - —
Mailing Address: 7 E- '-ri&Ice. •;,•r rtr State z'2I7
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DESCRIPTION OF WORKA OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12 00 = /
2 FUEL BURNING APPLIANCE More than 100.000 1 , X $15.00 , = / 5-2
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 =
5 USED APPLIANCE(WSEC min AFUE rating) Equal to or less than 400,000 X $50.00 =
6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 X $100 00 = ,
7 BOILER/REFRIGERATION 1-100M BTU X $12.00 =
8 BOILER/REFRIGERATION 101 -50DM BTU X $20.00 =
9 BOILER/REFRIGERATION 501 -1,000M BTU X $25.00 =
10 BOILER/REFRIGERATION 1,001 -1,750M BTU X , $35.00 = '
11 BOILER/REFRIGERATION More than 1,750M BTU X $60 00 =
12 GAS LOG,GAS INSERT,GAS FIREPLACE X $10 00 =
13 RANGE X $10 00 =
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 = tQL
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 $10 00 =
23 TYPE I HOOD X $50 00 =
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 $20.00 =
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 STOVE/INSERT 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: SUBTOTAL
0 CASH O CHECK 0 VISA 0 MC DATE PROCESSING FEE $35.00
CARD# EXPIRES TOTAL PERMIT FEE DUE: `� I- CIO
AUTHORIZED SIGNATURE