2009, 06-30 Permit App: 09001928 Mechanical Fixtures MECHANICAL PERMIT APPLICATION Community Development Department
.S�ne , iicj2 Building Division
Phone: (509) 688-0036; FAX: (509) 688-0037- I 11707 E. Sprague Avenue, Suite 106
For Inspections, Call (509)Q 688-0054 �� //�� Spokane Valley,WA 99206
Project Address: (0,( a t e 32J - £_ Permit Use: /g* Me- -CR `i-z )
Owner. /rGa,i*Gty 6ci-f...t- p Phone (Daytime Contact): 9Z.:9- 7 92 v
Mailing Address: l a.'52 I Z 32 w.v� OA-4- r _�la'i''t^''' City Li-iA- 99Z.v 6
/� State Zip Code
Contractor: PO-ski W� ��G- License#: /v-OL wr2 <N' Phone#:, - v/G
9zte-6 s RS"-
Mailing Address: - 4. ' City State Zip Code
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 POO-(V " More than 100,0001stri ( X , $15.00 = / 6-... 0
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(WSEC min.AFUE rating) Equal to or less than 400,000 X $50.00 =
6 USED APPLIANCE(WSEC 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,GAS INSERT,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 APPLIANCEX , $10.00 =
17 GAS PIPING(each outlet)
` X $1.00 = /,Si a
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 OFM 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 HOODX $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 STANDINGX $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: - SUBTOTAL /6`0 V
0 CASH 0 CHECK Ig,VISA 0 MC
DATE: PROCESSING FEE $35.00
EXPIRES:
CARD#: TOTAL PERMIT FEE DUE: 4!/.O G
AUTHORIZED SIGNATURE: This d..cumeM o.;g.n=IIi -• *' e+
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN G52014-030.