2006, 10-19 Permit App: 06004208 Mechanical FixturesPermit Center / / }
Spokane 11707 E Sprague Ave, Suite 106 PERMIT NUMBER: q?,k
,,;,00Valley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)689-0037
Community Development www.spokanevalley.org PERMIT FEE:
Mechanical Permit Application pplication ❑ Carnmercial [�Reside»tial
SITE ADDRESS: 25F / �? ZI Y -2 OAA is IJG //c, (o7I
Building Owner
DESCRIPTION OF WORK
Name: QPhZI7 S
Phone: 1- 42
Fax:
Address: /
City: ` r Gd 7/f
State: A7 Zip:
Contractor
2
FUEL BURNING APPLIANCE
Name: G u�e 1✓L Tic` �f Q
Phone:
Fax:
Address:
City:
State: Zip:
License No:
City Business Lic:
4
Contact
More than 400,000
X
Name: ��U �O rl�S
Phone:
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,AS INS �f, 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)
3 X
$1.00 =
18
DUCT SYSTEMS
X
$10.00 =
19
VENTILATING FANS
X
$10.00 =
20
AIR HANDLER DOES NOT include ducting)
to or Idss than 10,000 dFM
X
$12.00 =
21
AIR HANDLER DOES NOT include ducting)
_Equal
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
LVENTILATION 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 ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE $35.00
TOTAL PERMIT FEE DUE: