2010, 02-22 Permit App: 10000480 Gas FireplaceA Permit Center
� 11703 E Sprague Ave, Suite 8-3,
Spokane Valley, WA 99206
Valley (509)688-0036 FAX: (509)688-0037
Community Development Pemutcemterr�pokanevallev or¢,
Mechanical Permit Application
PERMIT NUMBER: I —
PERMIT FEE:get
Commercial $ Residential
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SITEADDRESS• 3T/ la Ai- 80-3/4 -1- VLd.
Building Owner
Name: trAii-ke' D•LvulaTocP tr _
Address: WI (9 N• --( ice /z -C9
Contractor
Phone. 09 - ��-75r Fax:
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State: J4 . Zip ! 2d Z 7
City.
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Name: ( 4 2 r
Address:
Phone
Fax:
City:
State:
License No:
City Business Lic:
Contact/Project Manager -
Name
Phone:
DCASH ❑ CHECK ❑ VISA ❑ MC
CARD #'
EXPIRES:
SIGNATURE
VIN
http://www.spokanevalley org/uploads/Community_Development/Documents/Forms/Building/MechanicalPernitApplication040309 doc •
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER
0-3 TON
AIR CONDITIONER
Over 3-15 TON
AIR CONDITIONER
Over 15-30 TON
AIR CONDITIONER
Over 30-50 TON
AIR CONDITIONER
Over50 TON
GAS WATER HEATER
GAS PIPING SYSTEM (each outlet)
GAS LOG, FIREPLACE, & GAS INSERT
1 1
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
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REPAIRS OR ADDITIONS
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 hp -100,000 BTU or less
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 3 - 15 hp —100,001 to 500,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 — 30 hp - 500,001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 hp — 1,000,001 to 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 50 hp — over 1,750,000 BTU
AIR HANDLER (DOES NOT include ducting)
Each unit up to 10,000 cfm, including ducts
AIR HANDLER (DOES NOT include ducting)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
VENTILATION AND EXHAUST
Each ventilation system
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or relocation of commercial
APPLIANCES
Range, Clothes Washer
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
DCASH ❑ CHECK ❑ VISA ❑ MC
CARD #'
EXPIRES:
SIGNATURE
VIN
http://www.spokanevalley org/uploads/Community_Development/Documents/Forms/Building/MechanicalPernitApplication040309 doc •