2008, 02-11 Permit App 08000372 Mechanical Fixtures�va1ie.
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. spokaneval l ey.org
PERMIT NUMBER:
PERMIT FEE:
n Commercial ❑ Residential
SITE ADDRESS: °2 3/5 g' ,4i
Building Owner
Name:
I/9 S/ // i/
> / eA ha,e._
Phone:
Fax:
Address:
,'l 3 i5
c ,(j5'4
City:
State:
Zip:
Contractor
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(.2.0.4. ,S^'Tz, Li
•6,
Name:
I7 k SP
/ z 49.e..
Phone: (50 g) - 99
— 3,2 / 7 Fax:
Address:
48 . ? ,j
a v a
6 ///c(
City: 57490
Stater/4
Zip: 9q,
_5�
License No:
City Business Lic:
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
$ 1 0 0 . 0 0
$50.00
$100.00
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
$25.00
10
11
BOILER/REFRIGERATION
BOILER/REFRIGERATION
1,001 - 1,750M BTU
More than 1,750M BTU
$35.00
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
$ 1 0 . 0 0
13
RANGE
$ 1 0 . 0 0
14
DRYER
$ 1 0 . 0 0
15
FUEL BURNING WATER HEATER
$ 1 0 . 0 0
16
MISC. FUEL BURNING APPLIANCE
17
18
GAS PIPING (each outlet)
DUCT SYSTEMS
5
$ 1 0 . 0 0
$ 1 . 0 0
$ 1 0 . 0 0
19
VENTILATING FANS
$ 1 0 . 0 0
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
$12.00
$15.00
$ 1 0 . 0 0
23
TYPE IHOOD
X
$50.00
24
TYPE II HOOD
X
$ 1 0 . 0 0
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
4-15 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
$ 1 0 . 0 0
31
WOOD OR PELLET STOVE/INSERT
X
$ 1 0 . 0 0
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR & ADDITIONS
$15.00
34
VENTILATION SYSTEMS
$12.00
35
VENTILATION MECHANICAL EXHAUST
$12.00
36
INCINERATOR — RESIDENCE
$19.00
37
INCINERATOR — COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Effective 10-28-07 P:\Community Development \Form s\Building forms\Mecbanical Permit Application.doc