2005, 09-14 Permit App: 05003388 Mechanical FixturesPermit Center
Spokane 11707 E Sprague Ave, Suite 106 �1r]�M� NUMBER
jV11 Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037-PERMIi�:
Community Development www-.spokanevalley.ora.com
Mechanical Permit Application ❑ Commercial (Residential
SITE ADDRESS
Building owner
DESCRIPTION OF WORK
Name: ,7 ��,� , i
Phone: S % 7j Fax
Address: S rCity
.9 - State 4c�.�/iL Zip
Contractor
1
Name: '`r "r-
Phone: , 2 B ' /,2 L/ Fax:
Address: / /p/ ;"
Ci B State 424f Zi O: /
License No: S r I j'f� J'vZ
City Business License No:
Contact
FUEL BURNING APPLIANCE
Name: , , ,�,>
Phone:
DESCRIPTION OF WORK
# OF UNITS X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
=
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 SEC min. AFUE ratio
Equal to or less than 400,000
X
$50.00
=
6
USED APPLIANCE SEC min. AFUE ratio
More 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
1 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
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
1 MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING each outlet
X
$1.00
=
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 II HOOD
X
$10.00
-
25
HEAT PUMP/AIR 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
=
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC DATE:
CARD #: EXPIRES:
AUTHORIZED SIGNATURE: ,yY �`'
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00
E
REVISED 8126105