2013, 08-28 Permit App: BLD-2013-1715 AC,' ,T Permit Center ���-
S� OkaIIe 11703 E Sprague Ave, Suite B-3 l
P Spokane Valley, WA 99206 PERMIT NUMBER:
�W]ey• (509)688-0036 FAX: (509)688-0037
www.saokanevallev.oro PERMIT
Community Development '
Mechanical Permit Application E:] Commercial ❑ Residential' (�❑
SITE ADDRESS: �4C)
Building Owner
Name: j
Address: l h
L{)%.mitis
Contractor
Name: �� e 1
Address: / r�, 1,
SIfJ I �' (3�iJ/G•
L .Ity. c
_ r Uli 61
)
Ph] ane: cSS� % 3
1 l )Y
U �Dckd�yu'
Fax:
State:
Fax:
State:
"
L<'/� Zi
C- c -
i'" �> ��
�A ZIP. 4%%1'
License No:
Contact
I'Y[n�i R
City BusinessLic:
Name:
1k—
Phone-: 6/8-,a - 73 > J7
DESCRIPTION OF: WORK
# OF UNITS
X
COtiT =
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less thar, 100,000
X
$12.00 =
2
FUEL BURNING F�PPLIANCE
More than 100 ,ODO
X
$15-00 =
3
UNLISTED APPLIANCE Additional Fee
Equal to or less tha n 400,000
X
$50.00 =
4
UNLISTED APPLIANCE Additional Fee
More than 400,000
X
$100.00 =
5
USED APPLIANC;E SEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00 =
6
USED APPLIANCE SEC min. AFUE ratio
More than 400,000
X
$10C.00 =
7
BOILER/REFRIC ERATION
1 - 100M .BTU
X
$12 00 =
8
BOILER/REFRIC;ERATION
101 - 5001<Jl BTU
X
$20 DO =
9 1
BOILER/REFRI(,ERATION
501 - 1,0010M BTU
X
$25.00 =
10
BOILER/REFRI(-;ERATION
1,001 - 1,750M BTU
X
$35.00 =
11
BOILER/REFR',GERATION
More than 1,750M BTU
X
$60 00 =
12
GAS LOG, GA,S INSERT, GAS FIREPLACE
X
$10.00 =
13
RANGE
X
$10.00 =
14
DRYER
X
$10.00 -
15 1
FUEL BURNING, WATER HEATER
X
$10.00 =
1 6
MISC. FUEL BURNING APPLIANCE
X
$10.00 =
17
GAS PIPING ea -h outlet
X
$1,00 -
18
DUCT SYSTEMS',
X
$10.00 =
19
VENTILATING Ff ,NS
X
$10.00 =
20 I
AIR HANDLER D OES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00 -
21
AIR HANDLER Dl7ES NOT include ducting)
Greater than 10,000 CFM
X
$15.00 =
22
EVAPORATIVE Ct DOLERS
X
$10 00 =
23
TYPE I HOOD
X
$50.00 =
24
TYPE II HOOD
X
$1000 =
25
HEAT PUMP/AIR C ONDITIONER
0-3 TON
X
$12.00
26
27
AIR CONDITIONER
AIR CONDITIONER
4-15 TON _
15-30 TON]
X
X _
320 00--�--�--
$25.019
28
AIR CONDITIONER
30-50 TOI` I
X
$35.( )0 =
29
O
AIR CONDITIONER
LPG STORAGE TAI, "'.
muio Lodi. 50 TON
X
X
$60.C)O =
$10.00 =
31
WOOD OR PELLET F;TOVE/INSERT
X
$10.00 =
32
WOOD STOVE - FRE -E STANDING
X
$25.610 =
33
REPAIR & ADDITIOf VS
X
$15.010 =
34
VENTILATION SYS TEMS
X
$12.00 -
35
VENTILATION ME(,HANICAL EXHAUST
X
$12.[)0 -
36
INCINERATOR - F;ESIDENCE
X
$19.00 -
37 1
INCINERATOR-':,OMMERCIAL
X
$22.00 -
METHOD OF PA`.(MENT:
❑CASH ❑ CFIECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIG?NATURE:
REVISED 8/26/05
SUBTOTAL
EXPIRES: PROCESSING FEE
$35.00
VII`1: TOTAL PERMIT FEE DUE: