2008, 10-16 Permit App 08004115 Gas ApplSpokan'�
.000I11e.
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
wv,w. spokanevall ev_org
PERMIT NUMBER: Lis ) C
PERMIT FEE:
l7
n Commercial ;:Residential
SITE ADDRESS: ES 6- I S L✓ - SQD w.&_--
Building Owner
Name: _....5 i1�[Fn
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one Ph22! 2Z2;5-
Fax:
Address:
City:
I," State:
Zip: 9 7 2).2.
Contractor
Name: A ,01
Phone:
Fax:
Address: 9 y 3
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City: iAeLi c.1_, •7
State:
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Zip: 3:3 6:35
License No: d-Z
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City Business Lic:
Contact
Name: OG�
Phone: 20�= �Z-�
5 7
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DESCRIPTION OF WORK
2
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or less than 100.000
More than 100,000
# OF UNITS
COST
TOTAL AMOUNT
I
X
$12.00
$15.00
3
4
5
6
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
USED APPLIANCE (WSEC min. AFUE rating)
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
More than 400.000
Equal to or less than 400,000
More than 400,000
$50.00
$100.00
$50.00
$100.00
7
BOILER/REFRIGERATION
1 - 100M BTU
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
$25.00
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
$35.00
11
BOILER/REFRIGERATION
12
GAS LOG, GAS INSERT, GAS FIREPLACE
13
RANGE
More than 1,750M BTU
$60.00
$10.00
X
$10.00
14
DRYER
$10.00
15
FUEL BURNING WATER HEATER
$10.00
16
MISC. FUEL BURNING APPLIANCE
$10.00
17
GAS PIPING (each outlet)
$1.00
18
DUCT SYSTEMS
$10.00
19
VENTILATING FANS
$10.00
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
$12.00
21
22
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
Greater than 10,000 CFM
X
$15.00
$10.00
23
TYPE HOOD
$50.00
24
TYPE II HOOD
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
$12.00
26
AIR CONDITIONER
4-15 TON
$20.00
27
AIR CONDITIONER
15-30 TON
$25.00
28
AIR CONDITIONER
30-50 TON
$35.00
29
AIR CONDITIONER
More than 50 TON
$60.00
30
LPG STORAGE TANK
$10.00
31
WOOD OR PELLET STOVE/INSERT
$10.00
32
WOOD STOVE - FREE STANDING
$25.00
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
$12.00
35
VENTILATION MECHANICAL EXHAUST
$12.00
36
INCINERATOR - RESIDENCE
$19.00
37
INCINERATOR - COMMERCIAL
$22.00
METHOD OF PAYMENT:
❑CASH 0 CHECK 0 VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
t
$35.00
REVISED 8/26/05