2013, 03-26 Permit App: BLD-2013-0513 Insert, PipingThis document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
Commtnntly Development
Pemlit Canter
11703 E Sprague Ave, Stine 1.3
Spokane Valley, WA 99206
(509)688-0036 FAX. (509)688-0037
nlYLEXikinCrateUEI
Mechanical Permit Application
❑ Commercial
and the original document destrot
pursuant to SOS DAN GS2014-030.
&CJ - 2o`3 - c5/3
PERMIT NUMBER:
l PERMIT FEE ,1 5O • DO
(i Residential
SITE ADDRESS:
J(1-.6 L, GSL
Building Owner
Name
Y 1 d le-
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Phone' �
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,/
Address /1,)1._
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t
C'" ii t. i -4 State L..J
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�P. e e
Contactor
Name • Lr G1-4-
Address \ . a `
``-yt v l! e f1
Phone. (-:;en) 3:) S -`4b0 Fax. t 5c 7
3.3 S • .j
$ ?-
,
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City: !- - .4_ State L, A
Z4P ci9
0`7
License No a
S . '
3 — •
City Business I.tc'
Contact
Nems �
1G
Phone (`� oil 3:) ` ci.; F$00
DESCRIPTION OF WORK
N OF UNITS
X
FUEL BURNING APPLIANCE
2
FUEL BURNING APPLIANCE
Equal to or Ness than 100 000
Mora then 103 000
X 1 812.00
X 1 815.00
3
UNLISTED APPLIANCE (Additional Fee)
4 UNLISTED APPLIANCE (Addxbnal Fe.)
5 USED APPLIANCE (MSEC min. AFUE rating)
8 USED APPLIANCE (WSEC min AFUE raunoj
7� BOILER/REFRIGERATION
8 BOILER/REFRIGERATION
Equal to or leas than 400,000
More Iran 400 000
Equal to or less than 400 000
More than 400 000
X 1 350.00
X I 3100 CO
x I 3S0 CO
x I 8100 CO
1 • IOOM BTU
101 -BOOM BTU
X 812.00
X 820.00
9
10
11
12
BOILER/REFRIGERATION
501 • 1 000M BTU
x 1 825.00
BOILER/REFRIGERATION
1001 • 1 150M BTU
X 1 835 00
BOILER/REFRIGERATION
More then 1 750M BTU
h. X 1 880.00
GAS LOG. GAS INSERT, GAS FIREPLACE
13 RANGE
x 1 510.00
x I 81000
/h
14
DRYER
X I 81000
15
FUEL BURNING WATER HEATER
X I 81000
18
MISC. FUEL BURNING APPLIANCE
x I 610.00
17
GAS PIPING (each outlet)
X I 5100
18 I DUCT SYSTEMS
19
x I 81000
VENTILATING FANS
x I $1000
8 20
21
22
AIR HANDLER (DOES NOT Include ducting)
Equal 10 or lees then 10,000 CFM
X I 81200
AIR HANDLER (DOES NOT Include ducting)
EVAPORATIVE COOLERS
Greeter then 10,000 CFM
x 1 815.00
x I 510 CO
23
TYPE HOOD
X I 350.00
24
TYPE II HOOD
x I 51000
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
x 1 51200
26
AIR CONDITIONER
4-15 TON
X 1 520 00
27
AIR CONDITIONER
15-30 TON
X 1 825 00
28 AIR CONDITIONER
29 AIR CONDITIONER
30
30-50 TON
X 1 835 00
More then 50 TON
x I 88000
LPG STORAGE TANK
X I 810.00
31 W000 OR PELLET STOVE/INSERT
X 1 810.00
32
WOOD STOVE - FREE STANDING
X 1 825 00
33
REPAIR & ADDITIONS
X 1 816.00
34 VENTILATION SYSTEMS
X 1 112.00
35 VENTILATION MECHANICAL EXHAUST
X 1 S12.00
36 INCINERATOR - RESIDENCE
37 ' INCINERATOR -COMMERCIAL
X I 111.00
X 222.00
METHOD OF PAYMENT:
❑CASH fT CHFCK {VISA fT MC
CARD 6:
AUTHORIZED SIGNATURE:
REVISED VMS
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
/02
836.00
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