2005, 11-08 Permit App 05004242 Furnace(-Pg r4-
Contractor:
di"lkY
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
y 720 For Inspections, CaII (509) 688-0054
Project Address: ' 1Ser4 t412i
Owner: i a �k�[f
Mailing Address: +-/7 '2_0 L 3ectyt -? I
I r� C y G(.kC
Mailing Address:
License #: l
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Q
Permit Use: (2-P O1 l %a i - 2 cE
Phone (Daytime Contact): 2S(-cf C( i
City
state zip Coae
Phone #: �j2i 5f 1 t
State
DESCRIPTION OF WORK
I OF UNITS
X
COST
a
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
(
X
$t2.00
=
200
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
3
UNLISTED APPLIANCE Additional Fee
E. al to or less than 400,000
X
$50.00
=
UNLISTED APPLIANCE (Additional Fee)
More than 400 000
X
$100.00
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
=
USED APPLIANCE SEC min. AFUE ratin•
More than 400 000
X
5100.00
=
7
BO/LER/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
=
RANGE
X
$10.00
=
DRYER
X
$10.00
=
F
FUEL BURNING WATER HEATER
X
$10.00
�_
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
GAS PIPING (each outlet)
X
$1.00
=
DUCT SYSTEMS
X
$10.00
=
VENTILATING FANS
$10.00
AIR HANDLER DOES NOT include dueti •
E. ual to or less than 10,000 CFM
X
$12.00
=
AIR HANDLER NOT include ducting)
Greater than 10,000 CFM
$15.00
=
21
22
(DOES
EVAPORATIVE COOLERS
MO
$10.00
=
23
TYPE !HOOD
�
X
$50 00
=
24
TYPE it HOOD
X
$10.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
=
28
AIR CONDITIONER
3-15 TON
X
$20.00
27
AIR CONDITIONER
15-30 TON
X
525.00
=
28
AIR CONDITIONER
30-50 TON
X
535.00
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
525.00
33
REPAIR & ADDITIONS
X
$15.00
=
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
as
INCINERATOR - RESIDENCE
X
$19.00
•
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑ CASH 0 CHECK 0 VISA 0MC
CARD #:
SUBTOTAL
l-e. 00
DATE:
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
7 7 , O 0
AUTHORIZED SIGNATURE: