Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2007, 10-22 Permit App: 07004242 Mechanical Fixtures
e S �rn, ''^ Permit Center Sjp kane 11703E Sprague Ave,Suite B-3 i"' i ' Spokane valley,WA 99206 PERMIT NUMBER: 4 2)42_j �ydlle` (509)688-0036 FAX:(509)688-0037 PERMIT FEE: 72_ Community Development �t`��`�ti'•spokanevallev.ors Mechanical Permit Application ❑ Commercial ❑ Residential SITE ADDRESS: f I Z-6 - -) Building Owner /� Name: TI b/11 fn er P.7 C-i r..l Phone: 9 . dq 7 c Fax: Address:TIN , i/, ) ^^ j a-'©t�`v '_ ,�--.� City: S{�O Y"�'�'�- State: W/"�` Zip: y'�.,1,54 Contractor Name: /'he-e 4-X kept/I: Phone: Fax: Address: City: State: Zip: License No: C' Business Lie: I 4f4 n,,jr, '^ Contact Name: ))v20/44 4 - it'li,,,.) Phone: r`(' 3 34: 474 DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $12.00 = • FUEL BURNING APPLIANCE More than 100,000 X $15.00 = • UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X $50.00 = • UNLISTED APPLIANCE(Additional Fee) More than 400,000 X $100.00 = • USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400,000 X $50.00 = • USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 X X $100.00 = $20.00 $25.00 $35.00 • BOILER/REFRIGERATION 1-100M BTU X $12.00 = BOILER/REFRIGERATION 101-500M BTU = / • BOILER/REFRIGERATION 501-1,000M BTU X = • BOILER/REFRIGERATION 1,001-1,750M BTU X = BOILER/REFRIGERATION More than 1,750M BTU X $60.00 • F GAS LOG,GAS INSERT,GAS FIREPLACE X $10.00 �j�' NGE X $10.00 = kat DRYER / X $10.00 - - 15 FUEL BURNING WATER HEATER X $10.00 16 MISC.FUEL BURNING APPLIANCE X $10.00 GAS PIPING(each 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 X $12.00 = 26 AIR CONDITIONER 4-15 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 ❑CASH 0 CHECK 0 VISA ElMC EXPIRES: PROCESSING FEE $35.00 CARD#: VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05