2007, 08-07 Permit App: 07003078 Gasline RepairPermit Center
Stiokarie 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development :;u,v.,,nok.ua,;sst(
Mechanical Permit Application ❑ Commercial residential
PERMIT NUMBER: -7
PERMIT FEE:'
SITE ADDRESS: 11310 k- )-
Building Owner
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Name: Sat icir L i� (GL)-r�
Phone:c �" < �"r ',,) ) Fax:
Address: j 1.j g I0 E Z (
City: State:
Zip:
Contractor
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Name: (� D L' t \ .C"C C'
Phone: 2C�i
9,7 (f /��s L� Fax:
Address:1 7 26 / C� %��G�'
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City: ,)pcc/4(1(e v v'/ L/ State:
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Zip:
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License No: 3c Le L� Lj LA Lo
City Business Lic: /�, 0 t ,3 (1CLQ
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Contact
Name: A �,.,�Clt.�
Phone: Li ` 2 L
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DESCRIPTION OF WORK
# OF UNITS
X
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or less than 100,000
More than 100,000
X
$12.00
X
$15.00
UNUSTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
Equal to or Tess than 400,000
More than 400,000
X
$50.00
X
$100.00
USED APPLIANCE (WSEC min. AFUE rating)
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
Equal to or less than 400,000
X
$50.00
More than 400.000
X
$100.00
1-100M BTU
X
$12.00
BOILER/REFRIGERATION
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
501 - 1,000M BTU
X
$25.00
BOILER/REFRIGERATION
BOILER/REFRIGERATION
1,001 -1,750M BTU
X
$35.00
More than 1,750M BTU
X
$60.00
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
DRYER
X
$10.00
X
$10.00
X
$10.00
FUEL BURNING WATER HEATER
X
$10.00
MISC. FUEL BURNING APPLIANCE
GAS PIPING (each outlet)
DUCT SYSTEMS
X
$10.00
X
$1.00
X
$10.00
VENTILATING FANS
X
$10.00
AIR HANDLER (DOES NOT indude ducting)
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
TYPE 111000
Equal to or less than 10,000 CFM
Greater than 10,000 CFM
X
$12.00
X
$15.00
X
$10.00
X
$50.00
TYPE II HOOD
x
$10.00
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
0-3 TON
X
$12.00
3-15 TON
X
$20.00
AIR CONDITIONER
AIR CONDITIONER
15-30 TON
x
$25.00
30-50 TON
X
$35.00
AIR CONDITIONER
More than 50 TON
X
$60.00
LPG STORAGE TANK
X
s10.00
WOOD OR PELLET STOVE/INSERT
WOOD STOVE - FREE STANDING
REPAIR & ADDITIONS
X
$10.00
X
$25.00
X
$15.00
VENTILATION SYSTEMS
X
$12.00
VENTILATION MECHANICAL EXHAUST
INCINERATOR - RESIDENCE
X
$12.00
X
$19.00
INCINERATOR- COMMERCIAL.
X
$22.00
METHOD OF PAYMENT:
DCASH 0 CHECK 0 VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 826/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
TOTAL. PERMIT FEE DUE:
$35.00
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