2003, 10-07 Permit App BLD-03-02705 Mechanical Fixtures*ohnne
a,#Va11ey
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
PROJECT
p
ADDRESS: 041 I t Main
PERMIT
USE:
OWNER Go r 13aa•nes
PHONE (Daytime Contact):
MAILING ADDRES�
P 0, Gay. Ill 1-;tLR1+t3 I 1,110, WIZ. R9n /9
(street) (city/state) (ZIP)
COSM THRHEATING & COOLING, INC.
LICENSE#: SMITHHC080R8
MAILING ADDRESS:
E. 102 NORA SPOKANE
PHONE#: 328-4431 FAX:
328-0749
WA 99207
(street) (city/state) (ZIP)
METHOD OF PA
❑ CASH ] C
DESCRIPTION OF WORK
t OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
•OR<100,000
I
X
$15
-
2
FUEL BURNING APPLIANCE
>100,000
X
519
-
3
UNLISTED APPLIANCE (ADDMONAL FEE)
• OR < 400,000
X
550
-
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
>400,000
X
$100
-
5
USED APPLIANCE (WSEC min. AFUE rating)
• or <400,000
X
$50
-
6
USED APPLIANCE(WSEC min. AFUE rating)
>400,000
X
5100
-
7
BOILER/REFRIGERATION
1-100M BTU
X
515
-
8
BOILER/REFRIGERATION
101. 500M BTU
X
$28
9
BOILER/REFRIGERATION
501 .1,000M BTU
X
539
-
10
BOILER/REFRIGERATION
1001-1,750M BTU
X
$57
-
11
BOILER/REFRIGERATION
+1750M BTU
X
595
-
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
510
-
13
RANGE
-
X
510
-
14
DRYER
-
X
510
-
15
FUEL BURNING WATER HEATER
-
I
X
510
-
I o. 00
16
MISC. FUEL BURNING APPL.
-
X
$10
-
17
GAS PIPING (ea. outlet)
-
2
x
sl
-
2 - 00
18
DUCT SYSTEMS
-
X
510
-
19
VENTILATING FANS
-
X
510
•
20
AIR HANDLER (DOES NOT include ducting)
-OR<10,000CFM
X
512
•
21
AIR HANDLER (DOES NOT include ducting)
>10,000CFM
X
519
-
22
EVAPORATIVE COOLERS
-
X
510
-
23
TYPE I HOOD
-
X
550
-
24
TYPE II HOOD
-
X
510
-
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512
-
26
AIRCONDITIONER
3-15 TON
X
$20
-
27
AIR CONDMONER
15-30 TON
X
525
-
28
AIRCONDMONER
30-50 TON
X
535
•
29
AIRCONDMONER
e50 TON
X
$60
-
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLET STOVE/INSERT
-
X
510
-
32
WOOD STOVE -FREESTANDING
-
X
$25
-
YIENT
_—
'a: ,
SUBTOTAL
Z'7 00
PLUS PROCESSING
$35.00
FEE
TOTAL PERMIT FEE DUE: 102,, 00
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE: