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2008, 10-30 Permit App: 08004315 Mechanical Fixtures
Spokane Valley PERMIT NUMBER: PERMIT FEE: (Staff Use Only) %— CITY OF SPOKANE VALLEY Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 permitcenter sookanevallev.orq MECHANICAL PERMIT APPLICATION COMMERCIAL SITE ADDRESS: 1 (7g IS E Lf 7 4h Z RESIDENTIAL BUILDING OWNER NAME: NOYMa_r1 it h u 4 -k -- NAME: N OV11 c&r ie. -v-11/.1-4 e t ADDRESS: I u I. S q 7• il cITY: Spo kawe 'IoJ � PHONE: - l as -17 a.1 FAX: CONTACT NAME: Ni O YY1 Gl VN- kn WA -14 \ PHONE: cia - r -7 a FAX: CONTRACTOR NAME: N tL lea.71-1 n STATE: L) ZIP: 441 Zv(o CELL: CELL: arta GDO1 i'n - Lnc MAILING ADDRESS: 390 N 6)(1)61:,__S ►CCS CTrv: 11 Ieci„iii Lei 'ST+ATE: 039 ZIP: ©aa PHONE: YU O O (aj S 3pn FAX: QD 44 - cry+) CELL: 5°)o - 3333-7Sct S J CONTRACTOR LICENSE NO.: I\ ` �] `Ep C,q 2Q) EXPIRES: CJI )\ l O 1 CITY BUSINESS LICENSE NO.: MANUFACTURER: PREVIOUS ADDRESS: PROPOSED USE: eat Pw,,A p 0 44 ,, eW in.4✓ Effective October 28, 2007 Page 1 of 2 http://www,spokanevalley.org//uploads/Community_Development/Documents/Forms/Building/Mechancial Permit App.1.doC PISCLAIMEI; The permitted verifies, acknowledges and agrees by their signature that: 1) N this permit N for construction or on a dwelling, the dwelling Is/will be served by potable water. 2) Ownership of this City of Spokane Valley permit Inure to the property Owner. 3) The signatory is the property owner or has permission to represent the property miner in this transaction. 4) All construction Is to be done In full compliance with the City of Spokane Valley Development code. Referenced codes are available for review at the Ory of Spokane Valley Permit Center. 5) The City of Spokane Valley permit Is not a permit or approval for any violation of federal, state or local taws, codes or onimances. 6) Mans or additional Information may be required to be s_Itted and subsequently approved before this application can be processed. c Date: LD197/08L Signature Method of payment: ❑ Cash Check Bankcard #: 0 Visa 0 Mastercard VIN#: Effective October 28, 2007 Page 2 of 2 http://wwwspokanevalley.org(NplOads/Community_levebpment/Documents/Forms/BWId)ng/Mechanciai Permit App.l.doc DESCRIPTION OF WORK i OF UNITS X COST TOTAL AMOUNT i 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) Mere than 400,000 X $100.00 5 USED APPLIANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X $50.00 = e . USED APPLIANCE (WSEC min. AFUE ratify) More than 400 OOD X $100.00 - 7 BOILER/REFRIGERATION 1- 100M eau X $12.00 = 8 BOILER/REFRIGERATION 101 - 500M BN X $20.00 = 9 BOILER/REFRIGERATION 501- 1.000M BRI X $25.00 = 10 BOILER/REFRIGERATION 1,001- 1,75014 BTU X $35.00 = 11 BOILER/REFRIGERATION More than 1,75014 0111 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 = 18 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 les than 10 000 CFM f X $12.00 1 a .00 21 AIR HANDLER (DOES NOT Include ducting) Treater man 10 000 6M X $15.00 = 22 EVAPORATIVE COOLERS X $10.00 23 TYPE I HOOD X $50.00 24 TYPE 11 HOOD X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 28 AIR CONDITIONER 4-15 TON 1 X $20.00 = 02.6 •Q-42 27 AIR CONDITIONER 15-30 TON X $25.00 = 28 MR 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 W000 STOVE - FREE STANDING X $25.00 33 REPAIR Q 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 $22.00 = SUBTOTAL 39.00 PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: 61000 • PISCLAIMEI; The permitted verifies, acknowledges and agrees by their signature that: 1) N this permit N for construction or on a dwelling, the dwelling Is/will be served by potable water. 2) Ownership of this City of Spokane Valley permit Inure to the property Owner. 3) The signatory is the property owner or has permission to represent the property miner in this transaction. 4) All construction Is to be done In full compliance with the City of Spokane Valley Development code. Referenced codes are available for review at the Ory of Spokane Valley Permit Center. 5) The City of Spokane Valley permit Is not a permit or approval for any violation of federal, state or local taws, codes or onimances. 6) Mans or additional Information may be required to be s_Itted and subsequently approved before this application can be processed. c Date: LD197/08L Signature Method of payment: ❑ Cash Check Bankcard #: 0 Visa 0 Mastercard VIN#: Effective October 28, 2007 Page 2 of 2 http://wwwspokanevalley.org(NplOads/Community_levebpment/Documents/Forms/BWId)ng/Mechanciai Permit App.l.doc