2005, 12-08 Permit App: 05004607 Mechanical Fixtures0. .0%, Permit Center A `
_Spokane 11707 E Sprague Ave, Suite 106
Valley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development vrwv .spokanevalley.or�.com
Mechanical Permit Application /_❑ Commercial
SITE ADDRESS: /'-s-1407` 0 / 16
PERMIT NUMBER:
PERMIT FEE: '
Residential
Building owner
DESCRIPTION
%(,'
# OF UNITS X
Name:
- TOTAL AMOUNT
Phone: Fax:
FUEL BURNING APPLIANCE
Address:
j (;
Z
City: S;. /� ..moi' te: 4,
Zip:
Contractor
` G)
More than 100,000
X
$15.00
Name:
3
Phone: Z -'7 Fax: J %
Equal to or less than 400,000
Address:
$50.00
=
City: 6 State:
Zip: L
License No:
,19(;
" / X4
City Business License No:
=
Contact
5
USED APPLIANCE SEC min. AFUE rating)
Equal to or less than 400,000
X
Name:
=
1 -
Phone: 71 -
USED APPLIANCE SEC min. AFUE rating)
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 400,000
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
BOILER/REFRIGERATION
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
=
1B
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
3-15 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:
❑CASH [<HECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
DATE:
EXPIRES:
_
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
/ 2-- vv
$35.00
X C J
REVISED 8/26105