HomeMy WebLinkAbout2005, 10-07 Permit App 05003672 Mechanical FixturesSpokane
.0,0 Val ley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.ora.corn
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ❑ Residential
SITE ADDRESS
Building owner /
Name:
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Phone:
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Fax
Address:
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City /r ,' F / 4
State
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Zip v rc, V(+(
Contractor
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Name:
Phone:
Fax:
Address:
City
State
Zip
License No:
City Business License No:
Contact
Name:
Phone:
# 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
$12.00
$15.00
$50.00
$100.00
$50.00
$100.00
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
10
BOILER/REFRIGERATION
1,001 - 1,750M BTU
X
$25.00
$35.00
11
12
13
BOILER/REFRIGERATION
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
14
15
16
17
18
19
20
21
22
23
24
25
26
27
DRYER
FUEL BURNING WATER HEATER
MISC. FUEL BURNING APPLIANCE
GAS PIPING (each outlet)
DUCT SYSTEMS
VENTILATING FANS
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
TYPE IHOOD
TYPE II HOOD
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
More than 1,750M BTU
Equal to or less than 10,000 CFM
Greater than 10,000 CFM
0-3 TON
3-15 TON
15-30 TON
X
X
r
X
X
X
X
X
X
X
X
X
X
X
X
28
29
30
31
32
33
34
35
36
37
AIR CONDITIONER
AIR CONDITIONER
LPG STORAGE TANK
WOOD OR PELLET STOVE/INSERT
WOOD STOVE - FREE STANDING
REPAIR & ADDITIONS
VENTILATION SYSTEMS
VENTILATION MECHANICAL EXHAUST
INCINERATOR - RESIDENCE
INCINERATOR - COMMERCIAL
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
30-50 TON
More than 50 TON
DATE:
EXPIRES:
X
X
X
X
X
X
X
X
X
SUBTOTAL
$60.00
$10.00
$10.00
$10.00
$10.00
$10.00
$1.00
$10.00
$10.00
$12.00
$15.00
$10.00
$50.00
$10.00
$12.00
$20.00
$25.00
$35.00
$60.00
$10.00
$10.00
$25.00
$15.00
$12.00
$12.00
$19.00
$22.00
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05