2007, 10-23 Permit App 07004259 Gas ApplPermit Center
Spokane 11707 E Sprague Ave, Suite 106
Walley Spokane Valley, WA 99206
(509)688-0036(509
FAX: (509)688-0037
Community Development www.spokanevallev.ora
Mechanical Permit Application
PERMIT NUMBER: r-I S l
PERMIT FEE:
❑ Commercial ® Residential
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SITE ADDRESS: /27 /7 E. B % 0 adW
Building Owner
Name: Tel- lee- Iri Fr 0 Y�1 f i i I r
p
Phone: Lr 2._ OZ !
Fax:
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Address: 12.7 17 G . p ir<!O-OI V1/0l/t/j
City: g
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State:
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Zip: _J Q 2 I 0
Contractor �f
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Name: EF 1 c 1 co c Li P t.lS
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Phone: 7 Z10- -1 O O O
Fax:
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Address:
i+�i21 1 E. }�iht3aL,dwn��
Ci ty S�n� w.►P.
State:
Wh
Zip:r
R9�IL
License No: C ZF I G h H'4!S I t-�')
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City Busines Lie: 60 1-
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Contact
Name: ^� (LEI"
Phone: 92 iD - 4000
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DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
2
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or less than 100,000
More than 100 000
1
$12.00
$15.00
I2.n
3
4
5
6
7
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 400,000
More than 400,000
Equal to or less than 400,000
More than 400,000
1 - 100M BTU
X
X
X
X
$50.00
$100.00
$50.00
$100 00
$12.00
8
BOILER/REFRIGERATION
101-500M BTU
$20.00
9
10
11
12
13
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOI LER/R EF R I G E R AT I ON
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
501- 1,000M BTU
1,001 - 1 750M BTU
More than 1,750M BTU
X
X
X
$25.00
$35.00
$60.00
$10.00
$10.00
14
DRYER
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
17
18
MISC. FUEL BURNING APPLIANCE
GAS PIPING (each outlet)
DUCT SYSTEMS
X
$10.00
$1.00
$10.00
19
VENTILATING FANS
$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
$12.00
$15.00
$10.00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
$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
$35.00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
$10.00
31
32
33
WOOD OR PELLET STOVE/INSERT
WOOD STOVE - FREE STANDING
REPAIR & ADDITIONS
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 &26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$36.00
TOTAL PERMIT FEE DUE:
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