2003, 10-10 Permit App BLD-03-02745 Heater*61 n'� e`"'`
�,jUalley
11707 East Sprague Avenge, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
Mechanical Permit Application
PROJECT DV
ADDRESS:
PERMIT
I COST EQUALS
�
USE:
OWNER: _
c n
v V 1
PHONE (Daytime Contact):
J
MAILING ADDRESS:
2 FUEL BURNING APPLIANCE
> 100,000
x
$19
(street)
(city/state)
(ZIP) C� Z
CONTRACTOR'
LICENSE d:
C; SEI.:
MAILING ADDRESS: -
X
PHONE p:
(street)
(city/state)
(ZIP)
METHOD OF PAY.
❑ CASH ❑ 0
Ll DESCRIPTION OF WORK
#OF UNITS X
I COST EQUALS
AMOLVVT
1 FUEL BURNING APPLIANCE
• OR c 100,000
X
S15
2 FUEL BURNING APPLIANCE
> 100,000
x
$19
3 UNLISTED APPLIANCE (ADDITIONAL FEE)
• OR 400,000
X
E50
4 UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
SI00
5 USED APPLIANCE(WSEC min. AFUEradng)
•or <q00,—
X.
f50
6 USED APPLIANCE(WSEC min. AFUE ratlng)
>400,000
X
5100
7 BOILER/REFRIGERATION
1-100 BTU
X
$15
8 BOILER/REFRIGERATION
101.500 A BTU
X
$28
9 BOILER/REFRIGERATION
501. 1,000M BTU
X
$39
10 BOILER/REFRIGERATION
1001-1,750M BTU
X
$57
11 BOILER/REFRIGERATION
-1750M BTU
X
$95 -
12 GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10
13 RANGE
X
$10
14 DRYER
X
In
15 FUEL BURNING WATER HEATER
-
X
5-10
16 MISC. FUEL BURNING ADPL.
X
5-10
17 GAS PIPING (ea. Outlet)
X
$1
18 DUCT SYSTEMS
_
X
$10 •
19 VENTILATING FANS
X
S10
20 AIR HANDLER (DOES NOT mdude duc S)
•OR<10,000CFM
X
$12
21 AIR HANDLER (DOES NOT include dud ng)
110,000 CFM
X
$19
22 EVAPORATIVE COOLERS
X
$10
23 TYPE I HOOD
_
X
$50
24 TYPE B HOOD
X
SIO
25 HEAT PUMP/AIR CONDITIONER
03 TON
X
$12
26 Apt CONDfnONER
3-15 TON
X
$20
27 ARt COND1770NER
15-30 TON
X
$25
28 AIRCONDMONER
30.50 TON
X
$35
29 AIR CONDCTIONER
+50 TON
X
$60 -
30 LPG STORAGE TANK
X
SIO
31 WOOD OR PELLET STOVE/INSERT
X
f10
32 WOOD STOVE -FREESTANDING
X
gu
TIENT
lcry r-1
SUBTOTAL: Ej�
PLUS PROCESSING FEE:
TOTAL PERMIT FEE DUE:
AW-01
CC,
$35.00
DATE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
EXPIRES: