2005, 02-03 Permit App: 05000326 Mechanical FixturesMECHANICAL PERMIT APPLICATION Community Development Department
Wa-Building Division
re Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106
4^ For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206
Project Address: C /-7 eF-. A £- Permit Use:
Owner: C-1-0 14 iU �r .SHAKO A) u t+ Phone (Daytime Contact): 509 - 99'/- / 6 Z3
Mailing Address: ll12 / 5" E /7v- tw (- vd may+,vt tIA-"" gS'o Z7
C,ty State Zip Code
Contractor: O w N t,C License #: Phone #:
Mailing Address: , , Stare Zip Cooe
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AUTHORIZED SIGNATURE.
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DESCRIPTION OF WORK
# OF UNITS X
COST = TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$1200 =
2
FUEL BURNING APPLIANCE
More than 100.000
X
$15.00 =
3
UNLISTED APPLIANCE Additional Fee
Equal to or less than 400,000
X
$5000 =
4
UNLISTED APPLIANCE Additional Fee
More than 400,000
X
$10000 =
5
USED APPLIANCE SEC min AFUE rating)
Equal to or less than 400,000
X
$5000 =
6
USED APPLIANCE CyVSEC min. AFUE ratio
More than 400,000
X
$10000 =
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
$2500 =
10
BOILERIREFRIGERATION
1,001 - 1,750M BTU
X
$3500 =
11
BOILERIREFRIGERATION
More than 1,750M BTU
X
$6000 =
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$1000 =
13
RANGE
X
$1000 =
14
DRYER
X
$10.00 =
15
FUEL BURNING WATER HEATER
X
$1000 =
16
MISC. FUEL BURNING APPLIANCE
X
$10.00 =
17
GAS PIPING each outlet
X
$1.00 =
18
DUCT SYSTEMS
X
$1000 =
19
VENTILATING FANS
X
$1000 =
20
AIR HANDLER DOES NOT include dune
Equal to or less than 10,000 CFM
X
$12.00 =
21
AIR HANDLER DOES NOT include ducting)
Greater than 10,000 CFM
X
$1500 =
22
EVAPORATIVE COOLERS
X
$1000 =
23
TYPE I HOOD
X
$5000 =
24
TYPE 11 HOOD
X
$10.00 =
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$1200 =
26
AIR CONDITIONER
3-15 TON
X
$20.00 =
27
AIR CONDITIONER
15-30 TON
X
$2500 =
28
AIR CONDITIONER
30-50 TON
X
$35.00 =
29
AIR CONDITIONER
More than 50 TON
X
$6000 =
30
LPG STORAGE TANK
X
$10.00 =
31
WOOD OR PELLET STOVE/INSERT
X
$1000 =
32
WOOD STOVE - FREE STANDING
X
$2500 =
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:
❑ CASH ❑ CHECK ❑ VISA ❑ MC
DATE
EXPIRES.
SUBTOTAL
PROCESSING FEE $35.00
TOTAL PERMIT FEE DUE:
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AUTHORIZED SIGNATURE.
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