2005, 02-18 Permit App: 05000514 Mechanical Fixtures NOV 08 2004 13 05 FR TO 89124% P.03/03
MECHANICAL PERMIT APPLICATION Community Develo went Department
�r _ a .11 Building Division
�i Phone:(509)888.0036; FAX:(509)688-0037 11707 E.Sprague Avenue, Suite 106
V4Iill For Inspections,Call(509)688-0054 Spokane Valley,WA 99206
Project Address: I L O D 12. 3`J �i Li Permit Use:
Owner- ,5-to o0 ir:Q%naflP e(Daytime Contact): 9 -416
Mailing Address: 7 i:.w ) A& ti a C&1 DD..)A `r9 E h
/ City sin. Zei Coe.
Contractor: 0-1v\A a r 0.vno r �y tat GF< License It: j-t, c,107-.C., f`t L2- Phone#: c i- ` 6 k - . .1(
Mailing Address: 1 01,,,_1-. 0 , L-oc�i,c( -'S tip Q jt« lJ,,(,lr`r Lam, � 0
cl-DESCRIPTION OF WORK 0 OF UNITS X COST • TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or Hee than 100,000 X 312.00 = ,
-
2 FUEL BURNING APPLIANCE _ More than 100,000 X $15.00
3 UNLISTED APPLIANCE(AdditiOnal Fee) Equal to or Iota than 400,000 X $50.00 , -...
4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 X $100.00 =
$ USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400,000 X $50.00 =
6 USED APPLIANCE(WSEC min.AFUE rating) Moro than 400.000 X $100.00 =
7 BOILER/REFRIGERAT1ON 1-100M BTU X $12.00 _
a BOILER/REFRIGERATION 101-500M BTU X $20.00 =
9 'BOILER/REFRIGERATION 501-1,000M BTU X 325.00 ■
10 BOILER/REFRIGERATION 1,001-1,750M BTU X 335.00 =
11 BOILER/REFRIGERATION Mort than 1,75011 BTU X 160.00
12 GAS LOG,GAS INSERT,GAS FIREPLACE X 310.00 -
13 RANGE _ X 310.00 =
14 DRYERr X S10.00
15 FUEL BURNING WATER HEATER1 X . $10.00
18 MISC.FUEL BURNING APPLIANCEX $10.00 =
17 GAS PIPING(each outlet) , X , $1.00 =
10 DUCT SYSTEMS Xy $10.00 ..$10.00
19 VENTILATING FANS x $10.00 =
20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM 1 1 X 312.00 = 4- .
21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM X 115.00 - _
42 EVAPORATIVE COOLERS ,, X , 310.00 _
23 TYPE I HOOD , X $50.00 •
24 TYPE 1 HOODX 310.00 ■ l
25 HEAT PIMP/AIR CONDITIONER 0.3 TON . i X $12.00 = 1 ?!-
26 AIR CONDITIONER 3-15 TON X 120.00 •, ■ ,
27 AIR CONDITIONER 1530 TON r X $25.00 =
28 AIR CONDITIONER 30.50 TON , X $35.00 =
29 AIR CONDITIONER More Dian 50 TON , X 560.00 =
30 LPG STORAGE TANKX $10.00 =
31 WOOD OR PELLET STOVE/INSERT _ X $10.00 =
32 -WOOD STOVE-FREE STANDING X $25.00 =
33 REPAIR a ADDmONs x $15.00 -
34 . VENTILATION SYSTEMS X 112.00 =
35 VENTILATION MECHANICAL EXHAUST X 112.00 ■
36 INCINERATOR-RESIDENCE - X 119.00 •
97 INCINERATOR-COMMERCIAL X $22.00 . •
METHOD OF PAYMENT: SUBTOTAL d 7
0 CASH 0 CHECK 0 VISA 0 MC DATE - PROCESSING FEE $35.00
CARO I. EXPIRES: TOTAL PERMIT FEE DUE: f .9.6"-''
AUTHORIZED SIGNATURE:
** TOTAL PAGE.03 **