2005, 11-03 Permit App: 05004156 Water Heater 10/30/2005 16: 52 50%659397 BEST WATER HEATER PAGE 01
al -(S
rimyMECHANICAL PERMIT APPLICATION
"(�1z ne City of Spokane Valley Community Development Department
jj��wllLl�us��11 Building()vision
40,0Vley 11707 E. Sprague Avenue, Suite 106
alG Spokane Valley, WA 99206
Phone. (509)688-0036;Fax: (509) 688-0037
FOR INSPECTIONS, CALL(509) 688-0054
Project Address: /�3 / �- 2 Permit Use: REa t-6 GftSL1fA 7E12.Weitre-eZ
Owner: m J i2-Gi J uN21/?tit?? ¢ a Phone(Daytime Contact): �Z b 13
Mailing Address: 590 4 Ate- 1p-- '1 Zd
city G D G 3&1716 Stateo Code
Contractor. - \/q7& 14.-`�rE7L License#13e57 w4 D36R 3 Phone#: 5c �4 7 5j
Mailing Address: a 2..'1-A -J9 n l .-Tio
/L /�T5 5PO,k"•-i./C A. • •
City State Zip Code
•OF TOTAL
DESCRIPTION OF WORK UNITS X COST AMOUNT
1 FUEL BURNING APPLIANCE Equal to or lees than 100,000 X 815.00 =
' 2 FUEL BURNING APPLIANCE Moreau t 100,000 X $19.00 =
3 UNLISTED APPLIANCE(Addhonal Fee) Equal to or less titan 400 0000 _ X $50.00 A
4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 X $100.00 =
USED APPLIANCE(WSEC min.AFUE
5 rang) Ewalt to or teas then 400,000 X $50.00
USED APPLIANCE(WSEC m)n.AFUE
0 tering) more than 404000 X $100.00 ■
-
7 BOILEREFRIGERATKIN 1-SOOM BTU X 116.00 =
W/
8 BOILER/REFRIGERATION 101-5001A BTU X 328.00 =
9. BOILER/REFRIGERATION 501-1,000M BTU X $39.00 • •
10 BOILER/REFRIGERATION 1,001-1,750M BTU X 157.00 = �_-
11 SOLER/REFRIGERATION More than 1 750M BTU X 195.00 =
12 _ GAS LOG,GAS INSERT,GAS FiREPIACE _ X $10.00 o
131 RANGE X 4 $10.00 .o
114 DRYER X 110.00 -
15 FUEL BURNING WATER HEATER / X $10.00 =
15 MISC.FUEL BURNING APPLIANCE X $10.00 a
17 GAS PIPING(each outlet) X 31.00 =
18 DUCT SYSTEMS X $10.00
14 VENTILATING FANS X $10.00 =
20 , AIR HANDLER(DOES NOT Include ductiofl) Equal to or tees Own 10,000 CFM , X $12.00 a
2t AIR HANDLER(DOES NOT include ducting) Gamier than 10,00o CFM X $19.00 = _t
22- EVAPORATIVE COOLERS X $10.00
t
22 TYPE 1 HOOD
X 3.50.00
24 . TYPE 1114000 X $10,00 =
_25 HEAT PUL1P(AiR CONDITIONER O-3 TON X $12.00 - 1
26 AIR CONDITIONER 3-15 TOM X $20.00 =
27 AIR CONDITIONER 15-3OTON X $25.00 a
28 AIR CON D(TIOi IED 3050 TON X $35.00 =
29 AIR CONDITIONER More than 50 TON X $80.00 =
30 LPG STORAGE TANK X . ;10.00 =
31 W000 OR PELLET STOVE/INSERT X $10.00 ■
_32 , WOOD STOVE.FREE STANDING X $20.00 =
METHOD OF PAYMENT: rO SUBTOTAL /O•V
0 CASH ElCHECK rl VISA {SMC "• �„ , PROCESSING FEE $35.00
CAR'. 'k # ,JTAL PERMIT FEE DUE: •PO
AUTHORIZE()SIGNATURE: 0...,
! �L This,' document originally contained
,,A.,,,,,,, confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the 'original document destroyed
pursuant to SOS DAN G52014-030.
OCT 30 2005 17:37 5CSob59397 PAGE.01