HomeMy WebLinkAbout2005, 08-19 Permit App: 05003025 Inserts, Piping MECHANICAL PERMIT APPLICATION //�� - Community Development Department
wane -Jl,� Building Division
, \ (icy Phone: (509) 688-0036; FAX: (509) 688-0037 1 (V 11707 E. Sprague Avenue, Suite 106
For Inspections, Call (509) 688-0054 ' .- Spokane Valley, WA 99206
Project Address: ILA-) O 7 17 , 2 Zr A - Permit Use:
Owner. rV 1 L '7'110 LA,p S 0.-1 Phone (Daytime Contact): qqq-L.f5 09
Mailing Address; 10.E A # i c 5 1-1235- , c &-//spo -0-A-s\ So LA 1H22 LI
City p Code
Contracto : S�v)<-,A..rc L1na t"^ it 2jo,lense#: S j o lc A C..V 919o/31 Phone#: mss--ti 5 7 0
Mailing A ess: p,,,,A-4 Io"S
City State Zip Code
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 400,000 X $50.00 =
4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 X $100.00 =
5 USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400,000 X $50.00 = •
6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 X $100.00 =
7 BOILER/REFRIGERATION 1-100M BTU X $12.00 =
8 BOILER/REFRIGERATION 101-50DM 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 = _
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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) X $1.00 = 1)-' O
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 $35.0,0 =
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: SUBTOTAL
a 41- _
0 CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE _ $35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE: 5j 7 c`
AUTHORIZED SIGNATURE: