2006, 10-04 Permit App: 06003973 ACPermit Center
� &aw 11707 E Sprague Ave, Suitt 106
VW PERMIT MILER:
Spokane Valley, WA 99206
(509)688.0036 A:(PERMIT FEE: ')
Community Development w'%w.wL- nevalleY.Otr_.Cori
Mechanical Permit Application ❑ Commercial n, Residential
SITS ADDRESS IQ b 3 Uh ry tt
Baltdin owner
Name
Addrass: S
Contractor
Phone:
city
- a 14
son, V(
Fax
State
&P ci
Name:
8 Phate:
- a a'
Fox: -
Addtess:
Ci
State
License No:
Contact
IN-
Ci Busincsa License No:
Phone: -:s-3S ` c4 R-
1
DESCRFMON OF WORK
FUEL BURNING APPLIANCE
Equal to or I= then 100,000
• OF UNfTS X
x
COST
$12.00 =
TOTAL AMOUNT
2
►uEL BURNING APPLIANCE
100,000
X
515.00
3 UNLISTED APPLIANCE Additional Fee E to or less than 400,000 x $50.00 -
4
UNLISTED APPLIANCE AdtlWOnal Fee
More than 400,000
x
$100.00 -
5
USED APPLIANCE SEC min. AFUE ratio
Equal to or lass than 400,000
X
MOO -
6
USED APPLIANCE SEC ruin. AFUE ratio
More than 4W.000
X
S100.00 -
7
801LER/REFRIGERATION
1 - t DOM BTU
X
512.00 -
8
9
BOILER/REFRIGERATION
13OtLER/REFRIGERATI0N
101 - SOOM BTU
501 - 1,000M BTU
X
x
$20.00 '
525.00 =
10
BOiLER/REFRIGERATION
1,001 - 1.750M BTU
X
535.00 '
11
801LER/REFRIGERATION
More then 1,750M BTU
x
560.00
12
GAS LOG. GAS INSERT GAS FIREPLACE
x
510.00 -
13
RANGE
X
$10.00 -
14
DRYER
X
$10.OD
15
FUEL BURNING WATER HEATER
x
510.00 =
16
MISC- FUEL BURNING APPLA14CF
x
S1D.00 -
17
GAS PIPING each outlet
X
51.00
1a
DUCT SYSTEMS
X
510.00
19
VENTILATING FANS
X
510.00 w
20
AIR HANDLER POES NOT inGude ducts
Equal to or less than 10,000 CFM
x
$12.00 -
21
AIR HANDLER DOES NOT include ducting)
Greater than 10.000 CFM
X
515.00 -
22
EVAPORATIVE COOLERS
X
$10.00 -
23
TYPE I HOOD
X
550.00 -
24
TYPE 11 HOOD
x
S10.00
25
HEAT PUMP/AIR CONDITIONER
03 TON
X
S12.D0 -
28
AIR CONDITIONER
3.15 TON(
520.00 -
7,
L 7,
27
1 AIR CONDITIONER
15,30 TON
ii
1 325.30
28
AIR CONDITIONER
3050 TON
X
$35.00 e
29
AIR CONDITIONER
More Man 50 TON
X
$0.00 -
30
LPG STORAGE TANK
x
$10.00 -
31
WOOD OR PELLET STOVE/INSERT
F x
$10.00 -
U
WOW STOVE - FREE STANDING
x
S25 00 -
33REPAIR
d ADDITIONS
X
$15.00 •
34
VENTILATION SYSTEMS
X
$12.00 -
35
VENTILATION MECHANICAL EXHAUST
x
512.00
36
INCINERATOR - RESIDENCE
X
519.00 ■
37
INCINERATOR - COMMERCIAL
x
$22.00
METHOO OF PAYMENT:
❑CASH HECK []VISA [3MC
CARD A I
DATE
EXPIRES.
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
93LOO
1-j 't_
AUTHORIZED SIGNATURE: RPv15sD&12"3
-77
** TOTAL PAGE.01 **