2006, 12-20 Permit App 06004911 Heater Permit Center
Spokane 11707 E Sprague Ave,Suite 106 PERMIT NUMBER: 9 /
,�,sValley Spokane Valley,WA 99206 "j'/�
(509)688-0036 FAX:(509)688-0037
Community Development ww.spokanevallev.ore PERMIT FEE: /�
Mechanical Permit Application I 1 Commercial IT Residential ✓
SITE ADDRESS: c93 10 . C l c cm Vol,.
Building Owner /
Name: 7e (�) b y 012. n Phone: C '�/-7U '�/ Fax:
Address: C�1 3�C' �2C'/ t��1� f�£� 7! �o�`fro1 q�
Pc7 c> 1� City:�'�Kc,�J�VG4�t! State: �� Zip: t/allz
Contractor Q,'`S F^ 1
Name: + 1 V v�
Phone: Fax:
Address:
City: State: Zip:
License No: City Business Lic:
Contact
Name: Phone:
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 =J
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(WSEC min.AFUE rating) Equal to or less than 400,000 X $50.00 =
6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 X $100.00 =
7 BOILER/REFRIGERATION 1-100M BTU X $12.00 =
8 BOILER/REFRIGERATION 101-500M BTU 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)
0,' 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 3-15 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: SUBTOTAL
❑CASH ❑CHECK `VISA 0 MC EXPIRES:
PROCESSING FEE $35.00
CARD#: c_i 1V l TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: �.`.,//
REVISED 8/26/05