2008, 07-08 Permit App: 08002603 Mechanical Fixtures �! Permit Center
S fit kane 11707E Sprague Ave,Suite 106 PERMIT NUMBER: 2( O
N�all =, Spokane Valley,WA 49206 �JJ
� �J (509)688-0036 FAX:(509)688-0037
Community Development wwwsaokanevalley org PERMIT 1k±.. � -
Mechanical Permit Application ❑ Commercial PResidential
SITE ADDRESS: / ( F0_5 6- J [ `v,
Braiding Owner r � �- QD,t.'e JV` or,( s c4- l'
Name: l Phone: Fara
Address: 1( Fb 5: E y? " ` aa . Cit''`C CC�L'LQ. U GLI Staff 1w 4 Tap Z o
Contractor/3 .±. c, OA ru4 c wJ Co fryi i rue
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Name: Phones C12 7-9616/ Fax: Stii
Address: pig(Z f.. .c.,=,+-4,(ems Com: Stbleetput, OaIffy State: - ,✓' ZIP: 4. ‘'.--4 eh
License No: 1.16.4/1-.4916.0 fa� r City Business Dac: �
Contact. Pi-Ch I
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Name: Phone: 7 j o -i-7 V( C e// --
DESCRIPTION
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100.000 / X $12.00 , = ( 2 •d c
2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 =
3 MILISTED 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 BOILERIREFRIGERATION 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 $80.00 =
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 APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) X $1.00 =
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 CFM 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 HOOD X $50.00 =
24 TYPE II HOOD - X $10.00 =
25 HEAT PUNS'/AIR CONDITIONER 03 TON ( , X $1200 = / ?. el 026 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 STANDING X $25.00 =
33 REPAIR&ADDITIONS X $15.00 =
34 VENTILATION SYSTEMS X $12.00 =
35 VENTILATION MECHANICAL EXHAUST X $12.00 =
38 INCINERATOR-RESIDENCE X $19.00 =
37 INCINERATOR-COMMERCIAL X $2L00 =
METHOD OF PAYMENT: SUBTOTAL /e.C(7
OCASH 0 CHECK 0 VISA 0 MC EXPIRES. PROCESSING FEE $35.00
CARD!I: VIN: TOTAL PERMIT FEE DUE: SV(?O
AUTHORIZED SIGNATURE: .
REVISED arzsios