2006, 02-10 Permit App 06000412 Wtr HtrS �k
Val ley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106 A '
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www spokancvallev org
Mechanical Permit Application
n Commercial
PERMIT NUMBER: 04
PERMIT FEE: -7 1'
Residential
SITE ADDRESS: t.(7`i
Building Owner
Name.
Ni )�t�1tL
Phone(4 y) f 91 ri�
Fax:
Address.
1 b 09 C
t7, co
�.
k t.,
j��
City: 5 _c yle 11 e
ram(! L�:
State
WI/
Zip:
�6
Contractor
J
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
2
3
4
5
6
7
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
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
X
X
X
x
X
X
X
$12.00
$15.00
$50.00
$100.00
$50.00
$100.00
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
10
11
12
13
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
501 - 1,000M BTU
1,001 - 1,750M BTU
More than 1,750M BTU
X
X
X
X
X
$25.00
$35.00
$60.00
$10.00
$10.00
14
DRYER
X
$10.00
15
16
17
18
FUEL BURNING WATER HEATER
MISC. FUEL BURNING APPLIANE
GAS PIPING (each outlet)
DUCT SYSTEMS
k
x
X
X
X
$10.00
$10.00
$1.00
$10.00
2 - ' c)
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
X
X
$12.00
$15.00
$10.00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
3-15 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
$10.00
31
32
33
WOOD OR PELLET STOVE/INSERT
WOOD STOVE - FREE STANDING
REPAIR & ADDITIONS
X
X
X
$10.00
$25.00
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
36
VENTILATION MECHANICAL EXHAUST
INCINERATOR - RESIDENCE
X
X
$12.00
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
Z,CU
$35.00
TOTAL PERMIT FEE DUE:
y 7. 00