2006, 08-18 Permit App 06003283 Gas Piping Inspection-!�,poxme 1 ] 707 E Sprague Ave, Suite 106
Walley Spokane Valley, WA 99206 PERMIT NZTNSER
(5D9)688-0036 FAX: (SD9)699-0037
Commmnity Development umu.snokanevallev.or¢ PERMIT FEE:
Mechanical Permit Application ❑ Commercial ❑ Residential
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Building owner A r
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Name:
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Phone:
Fax:
Address:
4611
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Zip: 2
Contractor•--
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Name.-
Phone:
Fax
Address:
City.
Stam:
Zip:
License No:
City Business Lie:
Contact
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Phone:DESCRIPTION
OF WORK
# OF UNITS X
COST -
TOTAL AMOUNT
I
UEL BURNING APPLLANCE
E ual to or less than 10D,DDD
X
$12DDUEL
BURNING APPLIANCE
More than 1DD,ODD
X
$15.ODNLISTED
APPLIANCE Adddional Fee
E ual to or ion than 4DD,DDD
X
$50.00NLISTED
APPLIANCE Addtlional Fee
More than 4DO,0DD
X
$1D0.DD -
5
USED APPLIANCE WSEC min. AFUE ratio
Equal to or less than 4DD,DD0
X
S50 -DD -
6
USED APPLLANCE SEC min. AFUE ratio
More than 4DD.000
X
$IDD.DD -
7
BOILER/REFRIGERATION
1 - IDDM BTU
X
$12.DD -
6
BOILER/REFRIGERATION
101 -5ODM BTU
X
$2D.DD -
9
BOILER/REFRIGERATIDN
SDI - I,DDDM BTU
X
$25.DD -
10
BOILERIREFPJGERATIDN
1,001-1,75DM BTU
X
$35.DD -
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
S60.0D
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
13
RANGE
-
14
DRYER
-
15
FUEL BURNING WATER HEATER
-
16
MISC. FUEL BURNING APPLIANCE
-
17
GAS PIPING each outlet)-
iB
DUCT SYSTEMS
X
510.00 -
19
VENTILATING FANS
-
2D
AIR HANDLER DOES NOT indude ducfin
E ual to or less than 10,DDD CFM
X
$12.00 -
21
AIR HANDLER DES NOT Include ductin
Greater than 10,000 CFM
X
$15.0D -
22
EVAPORAT m COOLERS
X
$10.00 -
23
TYPE I HOOD
X
$5D.DD -
24
TYPE II HOOD
X
$10.00 -
25
HEAT PUMP/AIR CONWTIONER
D3 TON
X
$12.00 -
26
AIR CONDITIONER
3-15 TON
X
$20.00 -
27
AIR CON
1530 TON
X
$25.DITIONFJi 00 -
26
AIR CONDITIONER
30-50 TON
X
$35.00 -
29
AIR CONDITIONER
More than 5D TON
X
$60.00 -
3D
LPG STORAGE TANK
X
$10.00 -
31
WOOD OR PELLET STOVEANSERT
X
$1 D.DD -
32
WOOD STOVE - FREE STANDING
X
$25.00 -
33
REPAIR 6 ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00 -
35
VENTILATION MECHANICAL EXHAUST
X
$12.DD -
36
INCINERATOR -RESIDENCE
X
$19.00 -
37
INCINERATOR -COMMERCIAL
X
$22.00 -
METHOD OF PAYMENT:
❑CASH El CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
VIN'
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
S35.DD
v 1 L1VLLLLLIJ JIULV /1l VItL:
REVISED V2605