2005, 09-20 Permit: 05003323 Mechanical fixturesMECHANICAL PERMIT APPLICATION
�� City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Project Address: /S� y % Permit Use:
Owner: Awe. -,e �z Phone (Daytime Contact):
Mailing Address:
City State Zip Code
Contractor: License #: Phone #:
Mailing Address:
city State Zip Code
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OFTOTAL
UNITS X
COST = AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$15.00 -
2
FUEL BURNING APPLIANCE
More than 100,000
X
$19.00 -
3
UNLISTED APPLIANCE Additional Fee
Equal to or less than 400,000
X
$50.00 -
44
UNLISTED APPLIANCE Additional Fee
More than 400,000
X
$100.00 -
5
USED APPLIANCE (WSEC min. AFUE
ratio
Equal to or less than 400,000
X
$50.00 =
6
USED APPLIANCE (WSEC min. AFUE
ratio
More than 400,000
X
$100.00 -
7
BOILERIREFRIGERATION
1 - 100M BTU
X
$15.00 -
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$28.00 -
9
BOILERIREFRIGERATION
501 -1 000M BTU
X
$39.00 -
10
BOILER/REFRIGERATION
1,001 -1 750M BTU
X
$57.00 -
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$95.00 -
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 =
18
DUCT SYSTEMS
X
$10.00 =
VENTILATING FANS
X
$10.00 -
AIR HANDLER DOES NOT include ducting)Equal
to or less than 10,000 CFM
X
$12.00 =
AIR HANDLER DOES NOT include ductin
Greater than 10,000 CFM
X
$19.00
EVAPORATIVE COOLERS
X
$10.00
[2U2
TYPE 1 HOOD
X
$50.00
TYPE II HOOD
X
$10.00HEAT
PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
AIR CONDITIONER
3-15 TON
X
$20.00
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 -
METHOD OF PAYMENT:
❑ CASH 0 CHECK 0 VISA 0 MC
CARD #:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE $35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: