2008, 10-14 Permit App 08004065 Mechanical FixturesSpokane
ne
��Valley
Community Development
Mechanical Permit Application n Commercial
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter(snokanevalley.arg
PERMIT NUMBER:
PERMIT FEE:
L�
Residential
SITE ADDRESS: (d 1 1-1 N , T -1 my a 1Zc-\- •
Building Owner
Name:
n _
l L- 01 nl
t -sr-t/Lii
Phone: ,ems
N,E, ,. a 9
1 2
Fax:
Address:
, O 1-4 M.
F 1 9 1
City: 5'Prtln r
Stater
Zip: C� 1"C
1 io
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
x
COST
= TOTAL AMOUNT
2
3
4
5
6
7
8
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
USED APPLIANCE (WSEC min. AFUE rating)
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
BOILER/REFRIGERATION
Equal to or less than 100,000
More than 100,000
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
101 - 500M BTU
X
X
X
X
X
$12.00
$15.00
$50.00
$100.00
$50.00
$100.00
$12.00
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
$25.00
10
11
12
13
BOILER/REFRIGERATION
BOILER/REFRIGERATION
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
1,001 - 1,750M BTU
More than 1,750M BTU
X
X
$35.00
$60.00
$10.00
$10.00
14
DRYER
X
$10.00
15
16
17
18
FUEL BURNING WATER HEATER
MISC. FUEL BURNING APPLIANCE
GAS PIPING (each outlet)
DUCT SYSTEMS
1
X
X
X
X
$10.00
$10.00
$1.00
$10.00
19
VENTILATING FANS
X
$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
23
TYPE IHOOD
$12.00
$15.00
$10.00
$50.00
24
TYPE II HOOD
X
$10.00
25
26
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
0-3 TON
4-15 TON
X
X
$12.00
$20.00
27
28
29
30
31
32
33
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
LPG STORAGE TANK
WOOD OR PELLET STOVE/INSERT
WOOD STOVE - FREE STANDING
REPAIR & ADDITIONS
15-30 TON
30-50 TON
More than 50 TON
X
X
X
X
X
X
$25.00
$35.00
$60.00
$10.00
$10.00
$25.00
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
36
VENTILATION MECHANICAL EXHAUST
INCINERATOR - RESIDENCE
x
$12.00
$19.00
37
INCINERATOR - COMMERCIAL
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
$22.00
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: