2001, 11-08 Permit App: 01009934 Mechanical FixturesMECHANICAL PERMIT APPLICATION
PROJECT
,
MIT
ADDRESS:
USE:
OWNER:PHO
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Street
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CONTRACTOR:
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LICENSE:
MAILING ADDRESS:
PHONE:
Street
Cit /State Zi
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue * Spokane, WA 99260-0050
Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133
DESCRIPTION OF WORK
#OF muLT'-
PLIED
UNITS BY
COST/
UNIT EQUALS
AMOUNT
B02
FUEL BURNING APPLIANCE
- OR < 100,.000
X
$12 -
$
B03
FUEL BURNING APPLIANCE
> 100,000
X
$15 -
$
B04
UNLISTED APPLIANCE ADDITIONAL CHARGE
- OR <400,.000
X
$50 -
$
B04
UNLISTED APPLIANCE ADDITIONAL CHARGE
> 400,000
X
$100 -
$
B06
USED APPLIANCE (Must meet WSEC's min. AFUE ratin
- OR <400,.000
X
$50 -
$
B07
USED APPLIANCE (Must meet WSEC's min. AFUE ratinO
> 400,000
X
$100 -
$
B08
BOILER/REFRIGERATION
1-100M BTU
X
$12 -
$
B09
BOILER/REFRIGERATION
101-500M BTU
X
$20 -
$
B10
BOILER/REFRIGERATION
501-1,000M BTU
X
$25 -
$
B11
BOILER/REFRIGERATION
1,001- 1,750M BTU
X
$35 -
$
B12
BOILER/REFRIGERATION
+1,750M BTU
X
$60 -
$
B13
GAS LOG, GAS INSERT, AND/OR GAS FIREPLACE
X
$10 -
$
B14
RANGE
X
$10 -
$
B15
DRYER
X
$10 -
$
B16
FUEL BURNING WATER HEATER
X
$10 -
$
B17
MISCELLANEOUS FUEL BURNING APPLIANCE
X
$10 -
$
B18
GAS PIPING ea. Outlet
X
$1 -
$
B19
DUCT SYSTEMS
X
$10 -
$
B20
VENTILATING FANS
-
X
$10 -
$
B21
AIR HANDLER(DOES NOT include ducts stems
- OR < 10,000 CFM
X
$12 -
$
B22
AIR HANDLER(DOES NOT include ducts stems
> 10,000 CFM
X
$15 -
$
B23
EVAPORATIVE COOLERS
X
$10 -
$
B24
TYPE I HOOD
X
$50 -
$
B25
TYPE II HOOD
X
$10 -
$
B26
HEAT PUMP/AIR CONDITIONER
0-3 TONS
X
$12 -
$ Z -
B27
AIR CONDITIONER
3-15 TONS
X
$20 -
$
B28
AIR CONDITIONER
15-30 TONS
X
$25 -
$
B29
AIR CONDITIONER
30-50 TONS
X
$35 -
$
B30
AIR CONDITIONER
+50 TONS
X
$60 -
$
B31
LPG STORAGE TANK
X
$10 -
$
B32
WOOD OR PELLET STOVE/INSERT
X
$25 -
$
METHOD OF PAYMENT
V"'
El CASH El CHECK ❑ . ❑ I -, ❑
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL -33
PLUS PROCESSING FEE $ 25.00
TOTAL PERMIT FEE DUE IS g
MINIMUM PERMIT FEE IS $35.00
PLEASE MAKE CHECKS PAYABLE TO
SPOKANE COUNTY PERMIT CENTER
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue * Spokane, WA 99260-0050
Telephone No. (509) 477-3675 * Fax No. 477-7198 * TDD No. (509) 477-7133