2005, 07-29 Permit App: 05002650 Wood StoveMECHANICAL PERMIT APPLICATI0N2&Community Development Department
' �� " �
Building Division
Wine
Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E_ Sprague Avenue, Suite 106
.;001 For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206
Project Ad_drreess:
Owner: /c -r►,
Mailing Address:
Contractor: License #:
Mailing Address:
Permit Use:
Phone (Daytime Contact): �50 2
Phone #:
Slate
Zip Code
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS X
COST = TOTAL AMOUNT
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 Fee
Equal to or less than 400,000
X
$50.00 =
4
UNLISTED APPLIANCE Additional Fee
More than 400,DO0
X
$100.00 =
5
USED APPLIANCE SEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
6
USED APPLIANCE SEC min. AFUE rating)More
than 400,000
X
$100.00 =
7
BOILERIREFRIGERATION
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 - 1,750M 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 =
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 -
18
1 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 POES 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
1 TYPE II HOOD
X 1
$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
1530 TON
X
$25.00 =
28
AIR CONDITIONER
30-50 TON
X
$35.00 -
29
AIR CONDITIONER
More than 50 TON
X
$60. DO =
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 8 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:
❑ CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE $35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: