2003, 10-09 Permit App: BLD-03-02729 Mechanical FixturesSkaan ems°'
4#Valley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
PROJECT
ADDRESS: 9 0 [T/
/ 4 6 e 3_5 I c /e -t-
PERMIT
USE:
1 OF UNITS
OWNERD4 AL ;e L _ 9(
,_F
AU TEC E�
PHONE (Daytime Contact):
9z8 37 ty7
MAILING ADDRESS:
9'0y Nr
&e-Qs,'c
iC
SPJK44TQ l%-IIE y/ t67-, 29 z/ z
(street)
X
515
(city/state) fZIP)
CONTRACTOR:
FUEL BURNING APPLIANCE
> 100,000
LICENSE #:
519
MAILING ADDRESS:
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
PHONE #:
X
550
(street)
4
(city/state) (ZIP)
)400,000
METHOD OF PA
❑ CASH ❑ C
•
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
1 OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
•OR<100,000
X
515
-
2
FUEL BURNING APPLIANCE
> 100,000
X
519
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
• OR < 400,000
X
550
-
4
UNLISTED APPLIANCE(ADDTRONAL FEE)
)400,000
X
3100
-
5
USED APPLIANCE (WSEC man. AFUE rating)•
or <400,000
X
550
-
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
5100
-
7
BOILER/REFRIGERATION
1 - 10UM BTU
X
515
-
8
BOILER/REFRIGERATION
101- 500M BTU
- X
528
-
9
BOILER/REFRIGERATION
501 - 1,0 0M BTU
X -
539
•
10
BOILER/REFRIGERATION
1001- 1,750M BTU
X
557
•
11
BOILER/REFRIGERATION
41750M BTU
X
595
-
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
510
-
13
RANGE
-
,
X
510
-
to
14
DRYER
-
X
510
-
I
15
FUEL BURNING WATER HEATER
-
X
510
•
16
MISC. FUEL BURNING APPL. f jfl
-
L
X
510
-
ID
17
GAS PIPING (ea Outlet)
-
a
X
51
-
18
DUCT SYSTEMS
-
X
510
-
19
VENTILATING FANS
-
X
510
20
AIR HANDLER (DOES NOT include ducting)
• OR<10,0 #CF00 M
X
512
-
21
AIR HANDLER (DOES NOT include ducting)
>10,000 CFM
X
519
-
22
EVAPORATIVE COOLERS
-
X
510
•
23
1Tee !HOOD
-
X
550
-
24
TYPE I HOOD
-
X
510
-
25
HEAT PUMP/AIRCONDnIONER
0-3 TON
X
512
-
26
AIRCONDITIONER
3-15 TON
X
520
-
27
AIRCONDITIONER
15-30 TON
X
525
•
28
AIR CONDITIONER
30-50 TON
X
535
-
29
AIRCONDTTIONER
+50 TON
X
560
-
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLET STOVE/INSERT
-
X
510
-
32
WOOD STOVE - FREE STANDING
-
X
525
•
VIENT
- _
.--. Y#SA.
��,_ -
SUBTOTAL
33e°
PLUS PROCESSING FEE: 1
. $35.00
TOTAL PERMIT FEE DUE (P BO
•
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: