2008, 07-02 Permit App: 08002540 Water Heater7T^ Permit Center
S�'okan 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER: t S q L`
P Spokane Valley, WA 99206
jVd1ey• (509)688-0036 FAX: (509)688-0037 PERMIT FEE: -
Community Development www.spokanevallev.ora
Mechanical Permit Application ❑ Commercial &Residential
SITE ADDRESS: 9,2 r 29
' V l s
Building Owner
Ratnd ., K
# OF UNITS X
Name: pArlow
= TOTAL AMOUNT
Phone:
CJZS/� $ Fax:
Address:O
X
City:
State: Zip: 7
Contractor S
rpt., i 9,,v,
More than 100,000
X
Name: G
C ` r
Phone:
( � 0 Fax:
Address:S-ZZ C N ( 06YX
City:
5,06 State: Zip: ?�
License No:
oe j l
City Business Lie:
Contact
X
$100.00
-
Name:
; X
Phone:
7� /-2
AUTHORIZED SIGNATURE: �.�r[�l
REVISED 8/26/05
DESCRIPfION 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
BOILERIREFRIGERATION
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 1
$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)
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
4-15 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 ❑CHECK ❑EXPIRES:VISA �vIC
CARD #: ��
SUBTOTAL
PROCESSING FEE 1
TOTAL PERMIT FEE DUE:
/d .4O
$35.00
OCA
AUTHORIZED SIGNATURE: �.�r[�l
REVISED 8/26/05