2008, 08-14 Permit App: 08003177 Water HeaterS#6Ka- ne
4;00.* Valley
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
perm itecnter,ctspokanevalIcy. org
PERMIT NUMBER: "
PERMIT FEE: `'t�
Mechanical Permit /Application
❑ Commercial ❑ Residential
SITE ADDRESS:
Building Owner
DESCRIPTION OF WORK
Name: `"1-e%e-44 6 e / Two
Phone:
9 2 , Q Fax:
Address: ��
City:
- State: Zip:
Contractor
2
FUEL BURNING APPLIANCE
Name:
Phone:
S _ Fax:
Address: oC
�i
City:
!E� State: Zip:
License No: T
City Business Lic:
Contact
UNLISTED APPLIANCE Additional Fee
More than 400,000
Name: �. G
C
Phone:
9,-U 77
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
More than 100,000
X
$15.00 =
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 SEC min. AFUE rating.)
Equal to or less than 400,000
X
$50.00 =
6
USED APPLIANCE SEC min. AFUE rating)
More than 400,000
X
$100.00 =
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00 =
8
BOILER/REFRIGERATION
101-500MBTU
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 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 PUMP/AIR CONDITIONER
0-3 TON
X
$12.00 =
26
AIR CONDITIONER
4-15 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 =
36
INCINERATOR - RESIDENCE
X
$19.00 =
37
INCINERATOR -COMMERCIAL
X
$22.00 =
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE $35.00
TOTAL PERMIT FEE DUE: