2004, 02-05 Permit App BLD-04-03508 Air Test Gas PipingSi t kane
,1_ Valley
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
Mechanical Permit Application
PROJECT
ADDRESS: ) L f( 0-
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PERMIT
USE:
OWNER: GuichcntCs
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PHONE (Daytime Contact):
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MAILING ADDRESS:
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(street)
(city/state) (ZIP)
CONTRACTOR:
LICENSE #:
MAILING ADDRESS:
PHONE #:
(street)
(city/state) (ZIP)
METHOD OF PA
❑ CASH
DATE:
DESCRIPTION OF WORK
8 OF UMTS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
= OR < 100,000
X
$15
-
2
FUEL BURNING APPLIANCE
> 100,000
X
$19
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR < 900,000
X
$50
-
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 900,000
X
$100
-
5
USED APPLIANCE (WSEC min. AFUE rating)
- or < 400,000
X
$50
-
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
$100
7
BOILER/REFRIGERAT1ON
1 -100M BTU
X
$15
-
8
BOILER/REFRIGERATION
101 - 500M 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
595
-
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
$10
-
13
RANGE
--
X
$10
=
14
DRYER
-
X
$10
-
15
FUEL BURNING WATER HEATER
--
X
$10
-
16
MISC. FUEL BURNING APPL.
-
X
$10
=
17
GAS PIPING (ea. Outlet)
-
I
X
$1
-
18
DUCT SYSTEMS
-
X
$10
-
19
VENTILATING FANS
-
X
$10
-
20
AIR HANDLER (DOES NOT include ducting)
- OR < 10,000CFM
X
$12
=
21
AIR HANDLER (DOES NOT include ducting)
> 10,000 CFM
X
$19
22
EVAPORATIVE COOLERS
-
X
$10
-
23
TYPE I HOOD
-
X
$50
-
24
TYPE II HOOD
-
X
$10
-
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12
=
26
AIR CONDITIONER
3-15 TON
X
$20
-
27
AIR CONDITIONER
15-30 TON
X
$25
-
28
AIR CONDITIONER
30-50 TON
X
$35
-
29
AIR CONDITIONER
+50 TON
X
$60
=
30
LPG STORAGE TANK
-
X
$10
-
31
WOOD OR PELLET STOVE/INSERT
-
X
$10
-
32
WOOD STOVE - FREE STANDING
-
X
525
-
VIENT
VISA'
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
_,c a
TOTAL PERMIT FEE DUE:
CHECK ❑ ❑ '. �"_
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: