2006, 07-11 Permit App: 06002649 Insert, Piping MECHANICAL PERMIT APPLI[:AIION /
utiIInitmy �cvclvia,,, .,..".I..•.•••••••••
Building Division
Phone:(5509)688-0036;FAX: (509) 688-0037 ') r, , \.1'1707 E.Sprague Avenue, Suite 106
For Inspections,Call(509)688-0054 `�� Spokane Valley,WA 99206
Project Add ,. / • Permit Use: (-x.7,1' l /--r.6.. -C9 �4 J �S '-
Owner. • :EM' Phone(Daytime Contact): 0`..3 0
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Mailing Address. , E I "1 ' '" Gj�u2 ()airyL�1l z71 a l S� as Code
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Contractor .{^awa -. - ��.-,� License#'F;��^ .
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Mailing Address: , .: M. 1 . .c. 0,.,;:t. ._.`
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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: $12.00 = i
2 FUEL BURNING APPLIANCE More than 100.000 X $15.00 =
3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400.00D X. $50.00 =
4 ENLISTED APPLIANCE(Addrional Fee) - More than 400,000 X $100.00 =
5 USED-APPLIANCE(WSEC min.AFUE ratlnq) Equal to or less than 400,000 _ _ X $50.00 = •
6 USE)APPLIANCE(WSEC min.AFUE rating) More than 400.000 X $100.00 = -
7 BOILER/REFRIGERATION 1-100M BTU , X $12.00 =
8 SOLER/REFRIGERATION 101-500M BTU • X $20.00 =
9 SOLER/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 = 7 ( . or C.,
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 = /, 0 0
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 =
1 23 TYPE I HOOD X $50.00 =
24 TYPE II HOOD X $10.00 =
li 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 $25.00 =
28 AIR CONDITIONER 5 30-50 TON _ X S35-00 =
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 S 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: SUBTOTAL 1 / . ) l3
I 0 CASH 0 CHECK 0 VISA 0 MC DATE: •
- PROCESSING FEE $35.00
CARD#, EXPIRES: TOTAL PERMIT FEE DUE: LI(',. CC)
AUTHORIZED SIGNATURE:
I