2009, 06-10 Permit App: 09001667 Heat Pump, AC RECEIVED 06/09/2009 10:58 5096880037 SV PERMIT CENTERFR
. Jun •0909 11 : 32a Banner Fuel 509 535 8712 p. 1
Permit Center PERMIT NUMBER: (_,2(0-1
' a 11707 E Sprague Ave,Suite 106 PERMIT FEE: 57)
' Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037
Community Development www.spokanevalley.org.com
Mechanical Permit Application I (commercial Mc Residential
Building owner. James Clard
Name: Phone: 926-4922 Fax:
Address:15724 East 23rd City: Spokane Valley state: WA ziP: 99037
Contractor.
Name: Banner Furnace&Fuel Inc. Phone: (509)535-1711 Fax: 509-344-0356
Address: N. 122 Helena City: Spokane State: WA Zip: 99202
License No.: City Business License No.:
Contact:
Name: Mike Peck Phone: (509)535-1711 Fax: 509-344-0355
#of _
DESCRIPTION OF WORK UNITS X COST _ = Total Amt.
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 CHARGE) Equal to or less than 400,000 X 50.00 = $ -
4 UNLISTED APPLIANCE(ADDITIONAL CHARGE) More than 400,000 X 100.00 = $ -
5 USED APPLIANCE(Must meet WSEC's min.AFUE rating) Equal to or less than 400,000 X 50.00 = $ -
6 USED APPLIANCE(Must meet WSEC's min.AFUE rating) 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 BOILER/REFRIGERATION 501-1,000M BTU X 25.00 = $ -
10 BOILER/REFRIGERATION 1.001-1.75M BTU X 35.00 = $ -
11 BOILER/REFRIGERATION More than 1.750M BTU X 60.00 = $ -
12 GAS LOG,GAS INSERT AND 1 OR GAS FIREPLACE X 10.00 = $ -
13 RANGE X 10.00 = $ -
14 DRYER X 10.00 = $ - _
15 FUEL BURNING WATER HEATER X 10.00 = $ -
16 MISCELLANEOUS FUEL BURNING APPLIANCE X 10.00 = $ -
17 GAS PIPING(ea.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 1 X 12.00 = $ 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 SUBTOTAL: $ 12.00
CASH CHECK X VISA MC Date: PROCESSING FEE: $ 35.00
( ires: - -- TOTAL PERMIT FEE DUE: $ 47.00
40
Authorized Signature:
��Q This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SO5 DAN GS2014-030.