2003, 11-21 Permit App: BLD-03-03132 FurnaceOTY <
polane
.alley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106
Spokane Valley, WA 99206
509-688-0036 - Phone
509-688-0037 - Fax
03- -N3a
PROJECT
ADDRESS: 1.Z Z,' t - .- VL/«k E
PERMIT
USE:
0 OF UNITS
OWNER 7 `t y
COST
PHONE (Daytime Contact):
AMOUNT
1
MAILING ADDRESS:
tZZ-k2— -c- _
13vC-)‹cYCI
X
(street)
(city/state) (ZIP)
i ; o c_
2
CONTRACTOR:
-
LICENSE #:
X
519
MAILING ADDR SS: -
q 3 o Al
ScDkr,, ,,,, ‹-1z Cf _
PHONE #: Z. 70 -62
7 % 7
- OR < 400,000
S FOK , w to
9
2/ C
(street)
(city/state) (ZIP)
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
METHOD OF PA
❑ CASH ❑ C
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
0 OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
- OR < 100,000
X
' 515
-
i ; o c_
2
FUEL BURNING APPLIANCE
> 100,000
X
519
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
- OR < 400,000
X
550
-
4
UNLISTED APPLIANCE (ADDITIONAL 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
1031.1,750MBTU
X
557
•
11
BOILER/REFRIGERATION
+1750M BTU
X
595
-
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
510
-
13
RANGE
-
X
510
-
14
DRYER
-
X
510
-
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
550
-
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
AIR CONDITIONER
15-30 TON
X
525
-
28
AIR CONDMONER
30-50 TON
X
535
•
29
AIR CONDffIONER
+50 TON
X
560
-
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLET STOVE/INSERT
-
X
510
=
32
W000 STOVE - FREE STANDING
-
X
525
-
KENT
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r4• — , _ ....
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE: