2003, 07-07 Permit App: BLD-03-02026 Mechanical FixturesCITY t 10�
pOIIV
Valley
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
Mechanical Permit Application
PROJECT
ADDRESS:,
7
PERMIT
USE:Y
— ' e _
OWNER
`"
�
PHONE (Daytime
Contact):
MAILING AD KESS:
2 FUEL BURNING APPLIANCE
� C Q F (%
X
$19 -
3 UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR <400,000
(street)
(city/state)
(ZIP)
CONTRACTOR: �
, `Aye Grp/
LICENSE #:
$100 -
MAILING ADDRESS: VC•
PHONE
. or < 400,000
X
$50 -
6 USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
(street)
(city/state)
(ZIP)
METHOD OF PAY)
DESCRIPTION OF WORK
# OF UNITS X
COST EQUALS
AMOUNT
1 FUEL BURNING APPLIANCE
- OR < 100,000
X
$15
2 FUEL BURNING APPLIANCE
> 100,000
X
$19 -
3 UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR <400,000
X
$50 -
4 UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
$100 -
5 USED APPLIANCE (WSEC min. AFUE rating)
. or < 400,000
X
$50 -
6 USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
$100 -
7 BOILERIREFRIGERATION
1-100M BTU
X
$15 =
8 BOILER/REFRIGERATION
101.500M BTU
X
$28 =
9 BOILER/REFRIGERATION
501-1,000M BTU
X
$39 -
10 BOILER/REFRIGERATION
1001-1,750M BTU
X
$57 -
11 BOILER/REFRIGERATION
+1750M BTU
X
$95 =
12 GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
$10 -
13 RANGE
-
X
$10 =
14 DRYER
-
X
$10 -
15 FUEL BURNING WATER HEATER
-
X
$10
16 MISC FUEL BURNING APPL.
-
X
$10 -
17 GAS PIPING (ea. Outlet)
-
X
$1 -
18 DUCT SYSTEMS
-
X
$10 =
19 VENTILATING FANS
-
X
$10 =
20 AIR HANDLER (DOES NOT include ducting)
- OR < 10,000CFM
X
$12 -
21 AIR HANDLER (DOES NOT include ducting)
> 10,000 CFM
X
$19 =
22 EVAPORATIVE COOLERS
-
X
$10 -
23 TYPE I HOOD
-
X
$50 -
24 TYPE II HOOD
-
X
$10 -
25 HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12
26 AIR CONDMONER
3-15 TON
X
$20 -
17 AIR CONDITIONER
15-30 TON
X
$25
28 AIR CONDITIONER
30-50 TON
X
$35 -
29 AIR CONDITIONER
+50 TON
X
$60 =
30 LPG STORAGE TANK
-
X
$10 -
31 WOOD OR PELLET STOVEANSERT
-
X
$10 -
32 WOOD STOVE - FREE STANDING
KENT
yam•
SUBTOTAL:
PLUS PROCESSING FEE:
TOTAL PERMIT FEE DUE:
$35.00
S S L
❑ CASH ❑ CHECK
DATE: In 3
BANKCAR.D NUMBER:
AUTHORIZED SIGNATURE:
u
LJ -
EXPIRES: