2006, 12-26 Permit App 06004952 Gas PipingPermit Cuter
Spokane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevatley.orz
Mechanical Permit Application Commercial
m
� . Valley
DEC 2
PERMIT NUMBER:
Residential
PERMIT FEE:
/.0740/9/ f I
v
Jl 1 E, Ainmr.a.7: - - J
Building Owner 7 14.( T L16V ha..-11 -i \J tip
/)I
4 1--61
Fax:
Name:
P one:
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1%a State: t Zip: 9 /I Z( fo
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Address: C Z (02 t..,( � 01 4�-uC' City: S1) a ICvr�-
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Contractor
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Name:
rivo /
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Address: S f-' City S p Ca f(e.(, State: &lift Zip: qq2 d
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License No: City Business Lic:
Contact
Name: 2( LlC W�`j d1,1,,,/ Phone: n l - / O �y
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OF W6RK
# OF UNITS
X
COST
=
TOTAL AMOUNT
DESCRIPTION
Equal to or less than 100,000
X
$12.00
=
_
APPLIANCE
1
FUEL BURNING
APPLIANCE
More than 100,000
X
$15.00
1 ' 00
2
FUEL BURNING
APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
=
3
UNLISTED
APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
=
4
UNLISTED
APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
=
5
USED
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
=
6
1 - 100M BTU
X
$12.00
=
7
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
=
8
9
BOILER/REFRIGERATION
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
=
10
11
12
13
1,001 - 1,750M BTU
X
$35.00
=
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
=
BOILER/REFRIGERATION
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
RANGE
X
$10.00
=
DRYER
X
$10.00
=
14
15
16
17
FUEL BURNING WATER HEATER
X
$10.00
MISC. FUEL BURNING APPLIANCE
X
$10.00
GAS PIPING (each outlet)
X
$1.00
=
7 , O O
18
DUCT SYSTEMS
19
VENTILATING FANS
X
$10.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE II HOOD
X
$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
X
$35.00
=
29
AIR CONDITIONER
More than 50 TON
X
$60.00
=
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
X
$10.00
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
33
REPAIR & ADDITIONS
X
$15.00
=
VENTILATION SYSTEMS
X
$12.00
=
34
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
=
INCINERATOR - RESIDENCE
X
$19.00
=
36
INCINERATOR -COMMERCIAL
X
$22.00
=
37
METHOD OF PAYMENT:
EXPIRES:
❑CASH ❑CHECK ❑VISA El MC
-- VIN:
SUBTOTAL
1.1 - 0 0
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
�. G O
AUTHORIZED SIGNATURE:
REVISED 8/26/05