2005, 04-25 Permit App: 05001305 Mechanical FixturesMECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
d;O&A* For Inspections, Call (509) 68a-0054
Project Address: 42 -1 - ZS 6 3
Owner:
Mailing Address: 12-6-15- d 's
Contractor.-�51�v� '�� Cc m<lt+ A- S. JM5 License #:
Mailing Address: LG Z 3 StT7C,.K1 (.'Lc AL
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use: 1.
Phone (Dayqwe Contact .
City
acme n _
Phone #: S ,'----
AUTHORIZED SIGNATURE:
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 ratio
Equal to or less than 400,000
X
$50.00
-
6
USED APPLIANCE SEC min. AFUE ratio
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
1 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
1 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)
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 kCHECK ❑ VISA ❑ MC
CARD #:
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
L
$35.00
) L
AUTHORIZED SIGNATURE: