2007, 02-22 Permit App: 07000509 Water Heater 7-0> 0 7 41(..S-----_____MECHANICAL PERMIT APPLICATION
Scan.
City of Spokane Valley Conimunity Development-Department
�.+ BuildingDivision
y 11707 E. Sprague Avenue;Suite 106
( ` •• Spokane Valley, WA 99206
.. Phone: (509)688-0036;Fax: (509) 688-0037
FOR INSPECTIONS, CALL(509) 688-0054
Project Address: /3 Y/C 2-G T/-f Permit Use:
. Owiner: /-7J ad li, ' 7 Phone(Daytime Contact): X127-4/s3
•Mailing Address: /3 V(3 c e 7-6 7`774 SIOp 0•'1-.acs" 1/, -zlc-y' c,444 Wa-a-6'
•
Contractor. f4/C)5 vm L /vCity State . Zip Code
PC. I License#: t,.,s P i 8-1 evs t Phone#: 92G f<6 1
Mailing Address: I -i7.oL E qZ-� S �Ic.�A4/<►- lip o!
CiyState Zip Code
/OF I ' TOTAL
=
DESCRIPTION OF WORK • ' UNITS . ' X COST AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $15.00 = •
• 2 FUEL BURNING APPLIANCE Mare**100,000 X $19.00 =
3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X $50.00 ,
4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 • X $100.00 , =
USED APPLIANCE(WSEC min.AFUE
' 5 ratingi Equal to or fess than 400,000 X $50.00 =
USE APPLIANCE(WSEC min.AFUE
8 rating) More than 400,000 X $100.00 =
7 BOILER/REFRIGERATION 1-'MOM BTU • X ! $15.00 • _
' 8 . BOILER/REFRIGERATION 101-500M BTU X $28.00 = _
9 , BOILER/REFRIGERATTON 501-1,000M BTU X $39.00 =
10 BOILERIREFRIGERATION 1,001-1,750M BTU X . $57.00 =
1t BOILER/REFRiGERATION More than 1,750M BTU X , $95.00 _= •
12 GAS LOG,GAS INSERT,GAS FIREPLACE • X $10.00 ,_
RANGE X $10.00 =
14 DRYER X $10.00 = •
15 FUEL BURNING WATER HEATER X . $10.00 = •
• 18 MISC.FUEL BURNING APPLIANCE X $10.00 •
. 17 GAS PIPING(each outlet) X $1.00 =
18 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS X $10.00 =
r
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 $19.00 j
22 EVAPORATIVE COOLERS X $10.00 =
23 TYPE t HOOD X $50.00 =
•
24 TYPE It HOOD X $10.00 =
25 HEAT PUMP/AIR CONDITIONER • 0.3 TON X ' $12.00 =
F •
26 AIR CONDITIONER 3-15 TON X $20.00 =
27 AIR CONDITIONER 15-30TON X $25.00 =
28 AIR CONDITIONER 30-50 TON `- $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 ( _
METHOD OF PAYMENT: SUBTOTAL
CICASH 0 CHECK 0 VISA D MC DATE: PROCESSING FEE $35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE ,
AUTHORIZED SIGNATURE: