2003, 08-05 Permit App: BLD-03-02142 Plumbing FixturesSpokane
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 9920,6 509-688-0037 - Fax
For Inspections, call 509-688-0054
PROJECT
ADDRESS: c3
c A
PERMIT
USE:
4 OF UNITS
X
COST
OWNER
7-(---_,9 l,;,
-i•
PHONE (Daytime Contact):
BURNING APPLIANCE
• OR < 100,000
MAILING ADDRESS:
i (
Pi
•
2
FUEL BURNING APPLIANCE
(street)
(city/state)
(ZIF)
519
•
CONTRACTOR:
ae/A4vA 1 • 1..,
LICENSE #:
;L6,4
'', 6L
i2
MAILING ADDRESS:
3,5-11 Ai
4
PHONE #:
>400,000
X
5100
-,
5
USED APPLIANCE (WSEC min. AFUE rating)
- or <400,000
(street)
(city/state)
(ZIP)
..
6
METHOD OF PA
0 CASH 0 CHECK 0 MIME 0 .1
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
4 OF UNITS
X
COST
EQUALS
AMOUNT
1FUEL
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 (ADDMONAL FEE)
>400,000
X
5100
-,
5
USED APPLIANCE (WSEC min. AFUE rating)
- or <400,000
X
550
..
6
USED APPLIANCE (WSEC min. AFUE rating)
>400,000
X
5100
7
BOILER/REFRIGERATION
1- 100M BTU
X
515
-,
8
BOILER/REFRIGERATION
101 - 500M BTU
X
528
..
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
539
10
'BOILER/REFRIGERATION
1001-1,750M BTU
X ,
557
•
11
BOILER/REFRIGERATION
+1750M BTU
X
595
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
510
13
RANGE
X
510
•
14
DRYER
X510
15
FUEL BURNING WATER HEATER
X
510
.
16
MISC. FUEL BURNING APPL
X
510
••
17
GAS PIPING (ea. Outlet)
X
51
•
18
DUCT SYSTEMS
X
510
-
19
VENTILATING FANS
X
510
•
20
AIR HANDLER (DOES NOT include ducting)
- OR < 10,000CFM
X
512
..
21
AIR HANDLER (DOES NOT include ducting)
>10.000 CFM
X
519
-
22
EVAPORATIVE COOLERS
X
510
23
TYPE I HOOD
X
24
TYPE II HOOD
X
510
..
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512
•
26
AIR CONDITIONER
3-15 TON
X
520
''
27
AIRCONDITIONER
15-30 TON
X
525
•
28
AIR CONDMONER
30-50 TON
X
535
.'
29
AIR CONDMON ER
+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
-
MENTPLUS
... ,
SUBTOTAL:
PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
0 CASH 0 CHECK 0 MIME 0 .1
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: