2008, 06-19 Permit App: 08002339 Mechanical Fixtures Permit Center
gpn a 11707E Sprague Ave,Suite 106 PERMIT NUMBER 231
NalleJ J Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037 PERMIT FEE: 6
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Community Development www.spokanevallev.org
Mechanical Permit Application ❑ Commercial gdtesidential
SITE ADDRESS: it( ( i O E. • I -*
Building owner 7 tvv, a IQ t<-V
Name: Phone: L((7_-b�,Z_7-/Y& (
Address: ( 1 C? h (s-1'1 City:5 pd;r kict ,61 State:`V 3 Zip:1-9 03-1
Contractor/3 +. C- .. rtpt ;^.1 co ti+,r f' y.t rsb
Name: Pbone.O2 7-46)6 Fax: SGt-
Address: , tilt(z 1� e Qtr sitiezebt4Lyet, State: iriv .,. Zip: f c14
License No: r3c g 14Rte.0 ?S ? City Business Lic: i
Contact'
Name: Phone: -7,U -2.,.Vto C cif
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DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 Z X $12.00 = Zy
2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 =
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 b or less than 400,000 X $50.00 =
6 USED APPLIANCE(WSEC min.AFUE rating) Mare than 400.000 X $100.00 =
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 $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
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) Z X $1.00. = Z
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!!HOOD X $1000 =
25 HEAT PUNtl'IAIR 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 = r
METHOD OF PAYMENT: SUBTOTAL -2.(4,00
CASH 0 CHECK o VISA o Mi; EXPIRES:
(] PROCESSING FEE $35.00
CARD#: VIN. TOTAL PERMIT FEE DUE: (D 1 ' OV
AUTHORIZED SIGNATURE: .
REVISED 8126105 ,Nuo ( S VinL4 ( cokdLFula Gc.s &a•t 15 54(51)e) 9Ct3 Li IL t)'"4 A&
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