2008, 07-08 Permit App: 08002604 Mechanical Fixtures .
ovs®\ Permit Center
Waokane ®'+ 11707E Sprague Ave,Suite 106 PST NUMBER:�(,() --
......*ValleySpokane Valley,WA 99206 �� 1
(509)688-0036 FAX:(509)688-0037 PERMTT rr:>;: �C\
Community Development ,,vivtv.sookanevallev ora
Mechanical Permit Application ❑ Commercial Ii0tesidential
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SITE ADDRESS: - t
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snagOwner 14-P(.1 ° ci U i/ICi 4 t `1. ST-e e
Name: hone: Fax:
Address: Z t (1 g, rtA City 3 p ote4 Lc./lt State: t,J d _?fe(co
Contractor 1'
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Name: !� Phone: gr ^"0�6 I Far SAS
Address: i Y`T ( e.a,-f-.4 (t oto City: 3 t fife , State. ,. ZP' y /b
License No: gG N6. Ii& O ?5-64.1? City Bnsiess Ltc
°Wad 0 i11- .c)_all ch i`1 I
Name: l 7 i U 2:2,VG c e// ....-
DESCRIPTION
DESCRIPTION OF WORK 9 OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 / X $12.00 = / v
2 FUELBURNING APPLIANCE More than 100,000 1 X $15.00 =
3 UNLISTED APPLIANCE(FdcRional Fee) Equal to or less than 400,000 X $50.00 =
4 UtILISTED APPLIANCE(Additional Fee) More than 400,000 X $100.00 =
5 USED APPLIANCE(WSEC mm.AFUE rating) Equal to or less than 400,000 X $50.00 =
6 USED APPLIANCE(WSEC min.AFUE rating) More than 400.000 X $100.00 =
7 BOILER/REFRIGERAT1ON 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 TION 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 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS X $10.00 =
20 AIR HANDLER(DOES NOT Include ducting)q) 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 1 HOOD X $50.00 =
24 TYPE II HOOD - X $10.00 =
25 HEAT PUIVP/AIR CONDITIONER 0.3 TON ( X $12.00 = 2, OU
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-FRES.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 2- ,0 0
DCASH 0 CHECK 0 VISA 13MC EXPIRES: PROCESSING FEE $35.00
CARD t V1N TOTAL PERMIT FEE DUE: S'CII 0 t>
AUTHORIZED SIGNATURE:
REVISED 8/26005
826.5