2006, 10-04 Permit App: 06003974 Mechanical Fixturesr _.
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Ccorm nity Development
Mechanical Permit
Permit Center
11707 F Sprague Ave. Suite 106
Spokane Valley, WA 99206
(509)688.0036 FAX; (509)689-0037
S ADoRM 13 c1.�
o Commercial
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PERMI-i' NUMBER: �J / 7q
PERMIT FEE:
a Residential
Buildia *wow
Name: a -i
Address: -
Contractor
V-' Phone:
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Fax
State G --zip
019oT
Name: 'e-
Addtlx3:
License No: 5Ck
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Ci
Ci
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S Slate
Business License No:
Contact
Name:
V.�
Phone:
3S
1
2
3
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE _
UNLISTED APPLIANCE Additional Fee
EqwI to or 1e33 Oren 100.0110
More than 100,000
~ E to a WS Olen 400.000
It OF uwF3 X
X
X
x
COST
$12.00 =
$15.00 =
$50.00 -
TOTAL AMOUNT
4
UNLISTED APPLIANCE AdOAonal Fee
More than 400,000
X
S1D0.00 =
5
USED APPLIANCE SEC min. AFUE ratio
Equal to or leas loan 400.000
X
550.00 =
6
USED APPLIANCE SEC min. AFUE ratio
More than 4W.000
X
5100.00 -
7
801LER/REFRIGERATION
1 - 1 DOM BTU
X
512.D0 =
8
BOILER/REFRIGERATION
101 - SOOM BTU
X
$20.00 -
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
S25,D0 -
10
BOILERAREFRIGERATION
1.001 - 1,750M BTU
X
535.00 -
11
BOILER/REFRIGERATION
More Mien 1,750M BTU
x
S60.D0
12
GAS LOG. GAS INSERT GAS FIREPLACE
X
510.00 -
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 -
16
DUCT SYSTEMS
X
$10.01
19
VENTILATING FANS
X
$10.00 e
20
AIR HANDLER POES NOT Ww)vde duct$ Equal to or lees than 10 DDO CFM
X
$12.00 -
21
AIR HANDLER DOES NOT include dura
Gteater Otan 10,000 CFM
X
515.00 -
22
EVAPORATIVE COOLERS
X
$10.00 -
23
TYPE I HOC&
X
$50.00 -
24
TYPE II HOOD
X
510.00
25
HEAT PUMP/AIR CONOITIONER
D3 TONX
$12.00 -
26 1
AIR CONDITIONER
3.15 TON
X
520.00 -
27
AIR CONDITIONER
1530 ION
X
i.25.0ij +
26
AIR CONDITIONER
3050 TON
X
$35,00 e
29
AIR CONDITIONER
More than SO TON
X
560.00
30
LPG STORAGE TANK
x
$10.00 -
31
WOOD OR PELLET STOVEANSERT
X
S1D.00 -
32
WOOD STOVE - FREE STANDING
X
52S.00 _
33
REPAIR d ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00 -
3S
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00 •
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑CASH Q CHECK ❑ VISA ❑ MC
CARD
DATE
EXPIRES,
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
535,00
` ''
AUTHORIZED SIGNATURE' C'-' C',
REVISED 912401
** TOTAL PAGE.01 **