2006, 06-19 Permit App: 06002387 Fans, Piping ovo°4NO2.... Permit Center
Stiokane 11707 E Sprague Ave,Suite 106
PERMIT NUMBER:1---7
...,...*vaney Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037
PERMIT FEE: eg7
Community Development www.sookanevallev.ore
Mechanical Permit Application 111 Commercial 0 Residential
SITE ADDRESS: •
Building Owner ' • -
Name: \A/ (4i' e t g Phone: Fax:
Address: I ..a Li. , c , 7-14" city: rt , State: 6.„,,i Zip:
Contractor - -. •
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Name: lc S 7-7-1 c s Phone: --7 i 0 .._ 0 6 -7 Li, Fax:
Address: 1 (,) D Li. . •,r k City 0/ tie(4 tl a,te State: 14/4. Zip: ci q0 3 7
License No: F i 4 fil E c 1 51:11-, cl City Busineis Lie:
Contact '.-••-, 2, -.",':--- '.- . •
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Name: '-- --o Phone: -7 t d . a& .1 Li,
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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(WSEC min.AFUE rating) Equal to or less than 400,000 X $50.03 = ,
6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 X $100.00 =
7 SOLER/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) a X $1.00 =
18 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS '3 X $10.00 = 1 ' O"
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 10,00D 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: SUBTOTAL
EICASH CHECK El VISA 0 MC EXPIRES: PROCESSING FEE $35.00
CARD#: VIN: TOTAL PERMIT FEE DUE: 11, f 7 '0
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AUTHORIZED SIGNATURE:
REVISED B/26/05