2006, 05-23 Permit App: 06001954 Heat Pump, AC '. CITYc 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone
Spokane Spokane Valley,WA 99206 509-688-0037-Fax
�Vca11e" For Inspections, call 509-688-0054
Mechanical Permit Application 1q54
PROJECT PERMIT
ADDRESS: . 119.0s 34, USE:
OWNER 5co---1 1 V A ,1 1L- 01-tot-e4 PHONE(Daytime Contact): 2 z_573 7
MAILING ADDRESS: l Il
112-0 3 3 b-1-`" 50vi l i ( 9 9d-6/2
(street) (city/state) (ZIP)
CONTRACTOR: p14p.,(..) LICENSE A: A'�� .�- 920 .j 6,MAILING ADDRESS: PHONE I: 7
5-5 7 6 111 k)) ,-- j 992 z
(street) (city/state) (ZIP)
•
DESCRIPTION OF WORK #OF LIMITS X COST EQUALS AMOUNT
4
t - l 3 L,. 1 FUEL BURNING APPLIANCE •OR<100,000 X $15
�• 2 FUEL BURNING APPLIANCE >100,000 X $19
Otero, 3 UNLLSTED APPLIANCE(ADDITIONAL FEE) •OR<400,000 X $50 •
4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $100
5 USED APPLIANCE(WSEC min.AFUE rating) •or<400,000 X $50 -
6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X $100 -
7 BOILER/REFRIGERATION 1-100M BTU X $15
8 BOILER/REFRIGERATION 101.503M BTU X $28 -
9 BOILER/REFRIGERATION 501-1,000M BTU X $39
10 BOILER/REFRIGERATION 1001-1,750M BTU X $57 •
11 BOILER/REFRIGERATION +1750M BTU X $95 -
12 GAS LOG,GAS INSERT,GAS FIREPLACE - X $10
13 RANGE - X $10
14 DRYER - X $10 -
15 FUEL BURNING WATER HEATER - X $10
16 MISC FUEL BURNING APPL. - X $10
17 GAS PIPING(ea.Outlet) - X $1 •
18 DUCT SYSTEMS - X $10
19 VENTILATING FANS - X $10 -
20 AIR HANDLER(DOES NOT include ducting) •OR<10,000CFM X $12
21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM X $19 •
22 EVAPORATIVE LUOLERS - X $10
23 TYPE I HOOD - X $50
24 TYPE II HOOD - X $10
25 HEAT PUMP/AIR CONDITIONER 0-3 TON l X $12 = / 7
26 AIR CONDITIONER 3-15 TON X $20
27 AIR CONDITIONER 15-30 TON X $25
28 AIR CONDITIONER 30-50 TON X $35
29 AIR CONDITIONER +50 TON X $60
30 LPG STORAGE TANK - X $10
31 WOOD OR PELLET STOVE/INSERT - X $10 -
32 WOOD STOVE-FREE STANDING - X $25 •
•
SUBTOTAL: /2.00
METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00
116.4 • "'.s( TOTAL PERMIT FEE DUE: L(7,CO
0 CASH 0 CHECK 0 0 �_ _�`'�.1
DATE: EXPIRES:
BANKCARD NUMBER
AUTHOF?ZED SIGNATURE: