2008, 08-25 Permit App 08003349 Fuel Brng Appl*Rime
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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
www.spokanevallev.org
❑ Commercial
PERMIT NUMBER: 5 `2.CA'>
PERMIT FEE:
Residential
SITE ADDRESS: LI G 2.y E. " -
Building Owner
Name:
i�A1^C IAA( �+� � � s�Lr
Phone: -,
s�5- 1F�,t�
Fax:
j
Address: i l., 2 4 E . So a •-1' e.I v� In !n
City: c, k ci V�
State: w A Zip: q,3 26-7
Contractor
Name: E.F1=1 C 1 ENGc/ Yet .0 S
Phone: 92(,- 4000
Fax: 532_ a0C'O
Address: Z 1 E a %A c„r
1
City: S v0 G V a.1-1
State: W A- Zip: R 2&
License No: E Fri( . P - clq 1 �--i
1
City Business Lic:
Contact
Name: 7- 6-cod
Phone: a 2 6 - L4c30O
DESCRIPTION OF WORK
# OF UNITS
COST
TOTAL AMOUNT
1
2
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or less than 100,000
More than 100,000
$12.00
$15.00
12.00
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 Tess than 400,000
More than 400,000
Equal to or less than 400,000
More than 400.000
1 - 100M BTU
$50.00
$100.00
$50.00
$100.00
$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
X
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
$10.00
13
RANGE
$10.00
14
DRYER
$10.00
15
FUEL BURNING WATER HEATER
$10.00
16
MISC. FUEL BURNING APPLIANCE
$10.00
17
18
GAS PIPING (each outlet)
DUCT SYSTEMS
$1.00
$10.00
16. ov
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
$12.00
$15.00
$10.00
23
TYPE I HOOD
$50.00
24
TYPE II HOOD
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
$12.00
17_, C�
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
$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 ❑ CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
REVISED 8/26/05