2003, 10-21 Permit App BLD-03-02837 Heater, ShopSn°+ e
pQms``
,,;oOValley
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
Mechanical Permit Application
PROJECT N, //9 FlorCL
ADDRESS: V r
PERMIT
USE:
OWNER' — e. L
PHONE (Daytime Contact): _
972
MAILING ADDRESS:
Ni9F r C� 9901(,
(street) (city/state) (ZIP)
CONTRACTOR°
LICENSE S:
MAILING ADDRESS: - PHONE t:
(street) (city/state) (ZIP)
METHOD OF PAY)
D CASH D CF
DATE:
DESCRIPTION OFWORIC
I#OFUNMI X
COST I EQUALS
I AMOUNT
1 FUEL BURNING APPDANGE
. • OR <]00,000
X
f15
2 IFUEL BURNING APPLIANCE
> 100,000
X
519
3 UNL6TED APPLIANCE (ADDITIONAL FEE)
• OR <400,000
X
SD
SM
UNL6 D,=LIANCI (ADDITIONALFEE)
>900,0D0
X
$100
5 USEDAPPLIANCE (W 51 mim AFUE®ting)
.m<900p00
X.
$50
6 USED APPLIANCE(WSEC min. AFUE rating)
>4DOX00
X
$100
7 BOILER/REFRIGERATION
I -IDDM BTU
X
$15
8 BOILER/REFRICERATION
101-500m BTU
x
f26
9 BOILER/RRFRICERATION
$01-LODOM BTU
X
$39
30 BOILER/REFRIGERATION
1001-1,75DMBTU
X
557
11 BOILER/REFAICERATION
+1750M BTU
x
$95
12 CAS LOG, GAS INSERT, GAS FIREPLACE
-
X
$10
13 RANGE
X
$10
19 DRYER-
- X
510 -
IS FUEL BVRNWG WATER HEATER -
X
$10
16 LOC FUEL BURNING APPL
X
510
17 CAS PIPING (n Outlet)
X
18 DUCT SYSTEMS
_
X
S10
19 VENIILATWGFANS
X
$10
20 AIR HANDLER (DOES NOTindude ducting)
•OR<IOAUDCFM
X
$12
21 AIR HANDLER (DOES NOT Include dudin)
> 1010!10 CFM
X
$19
22 EVAPORATIVE COOLERS
X
$10
23 TYPE 1 HOOD
X
f50
29 TYPE 11HOOD
X
$10
25 HEATPUMP/AIRCOND[11ONER
0-3 TON
X
$12
26 AIR CONDITIONER
3.15 TON
X
S20
27 ABR CONDITIONER
15,0 TON
X
$25
28 AIRCONDMONER
30-50 TON
X
$35
29 AIRCONDITTONER
+50 TON
X
30 LPCSTORACETANK
X
f10
31 WOOD OR PELLET STOVE—ESM
X
S10
32 WOOD STOVE -FREESTANDING
X
fy<
1FINT _
rx n
SUBTOTAL:-
PLUS PROCESSING PEE:
TOTAL PERMEE DU:
�e� 0:6
$35,00
S Oc'
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
EXPIRES: