2006, 11-30 Permit App 06004686 Gas PipingSpokane
®�Va.11ey
Community Development
www.spokanevallev.org
Mechanical Permit Application
SITE ADDRESS:
Permit Center
11707E Sprague Ave, Suite l O F C f c { ij E
Spokane Valley, WA 99206 I ---
(509)688-0036 FAX:(509)688-0037
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lyndercla ri;Residential
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Building Owner :,/ Gi / /i y S`i ch,C-6R___
Name:
Phone:
Fax:
Address:
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City: 5�0,cGlti�
State: /
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Zip: / 6 2 7 -
Contractor
Name:
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Phone: 4�‘ % 3 .
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Fax:
Address:
4/8 4/. 2 A/
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City: 4!/ G/V
State: L ; j
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License No:
City Business Lie:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
COST
= TOTAL AMOUNT
1
2
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or less than 100,000
More than 100,000
$12.00
$15.00
3
4
5
6
7
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
USED APPLIANCE (WSEC min. AFUE rating)
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
Equal to or less than 400,000
More than 400,000
Equal to or less than 400,000
More than 400.000
1 - 100M BTU
$50.00
$100.00
$50.00
$100.00
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
$25.00
10
BOILER/REFRIGERATION
1.001 - 1,750M BTU
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
$10.00
13
RANGE
$10.00
14
DRYER.
$10.00
15
FUEL BURNING WATER HEATER
$10.00
16
MISC. FUEL BURNING APPLIANCE
$10.00
17
GAS PIPING (each outlet)
$1.00
18
DUCT SYSTEMS
$10.00
19
VENTILATING FANS
$10.00
20
21
22
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
Equal to or less than 10,000 CFM
Greater than 10.000 CFM
X
$12.00
$15.00
$10.00
23
TYPE I HOOD
$50.00
24
TYPE II HOOD
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
3-15 TON
$20.00
27
AIR CONDITIONER
15-30 TON
$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
$10.00
31
WOOD OR PELLET STOVE/INSERT
$10.00
32
WOOD STOVE - FREE STANDING
$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 S/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: