2004, 10-20 Permit App: 04009492 Heat Pump, ACT0'39dd
HOU
SOST48460S
11 2004 09:45 FR
stY
Project Add re 5:
Owner
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (S09) 688-0054
(203 6. CENTo/a
A 6 ie
it
77 -
Mailing Address: 120 4• recivro a 1'
Contractor: Et 1ZHE&M16 #. !k/& Inc.
Mailing Address:
14
OE:ST 400E 0Z D3G
TO 4848332( F. 03/03
U) "841-(9�
ommunity Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (De imc Contact): SQy - 924- 6 8'
e
DID• ��gCxe
License #:ccgatjj4 1r,6 }3 ty Phone #: ;s 4- «gy /qfa�
DESCHIPTION OF WORK
cty
Sul.
Zp co@
S OF UN
COST
TOTAL • NT
FUEL BURNING APPLIANCE
FUEL BURNINGSPPLIANCE
UNLISTED APPLIANCE Adallonai ee
ual t0 r less ma
100 000
Mere than 100,900
Ecuel to or IC= Ulan 400 000
UNLISTED APPLIANCE (AddltIongl Fee) More than 400000
USED APPLIANCE SEC min. AFUE not E•ual to or loss man 400 000
USED APPLIANCE MSEC mtn. gpUE taun0) More Ulan 400,000
1 . 100M BTU
101 .500M BTU
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/BEER' TION 501 • T 000 B
$1100
5QILER/REFRIGERATION
GOIILR/REFRIGE RATION
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
DRYER
FUEL BURNING WATER HEATER
MISC FUEL BURNING APPLIANCE
GAS PIPING lone/ ou0el)
DUCT SYSTEMS
10 VENTILATING FANS
20 .1 AIR HANDLER (DOES NOT intludq ducting)
21 AiR HANDLER (DOGS NOT Include ducting)
22 EVAPORATIVE COOLERS
TYPE IHOOD
TYPE II HOOD
HEAT PUMP/AIR C9/10mONe
AIR CONDONER
19 R CONDITIONER
AIR CONDITIONER.
AIR CONDITIONER
PG STORAGE TANK
WOOD OR PELLETSTOVE/INSERT
WOOD STOVE - FREESTANDING
$100.00
$12.0Q
0,20.00
$25,00
1,001 • 1,750M BTU
More than 1?50M BTU
REPAIR & ADDITIONS
VEN'nLAT)ON SYSTEMS
Eguel to or IG plan 10,000 CFM
Gleam( than 10,000 CFM
0-3 TON
3.15 TON
15-30 TO
30-50 TON
More Ih-n 50 TON
VENTILATION MECHANICAL EXHAUST
36 INCINe T•R- RESIDENCE
37 . INCINERATOR - COMMERCIAL
x $10.00
I
$10.00
B= in
Ei.00
DO 5El
� x e��
510.00
=1�.D0
515.00
510.00
X • $50.00 e
x $12.00
Ell
X
x'
_ X
flit
sa% stem.
510.00
$10.00
$20.00
525.00
510.00
$25.00
/15.00
/12.00
METHOD OF PAYMENT:
❑ CASH 0 CHECK
. VISA 13 MC
CARD*. . f%i'i 6t&
AUTHORIZED SIGNATURE.
TO/TO 39tid
DATE 12-2o..o<1
EXPIRES t&- Oa,
X $22.00
SUBTOTAL
PROCESSING FEE • 135.00
TOTAL PER/NT FEE DUE:
9NIiC3H as
�7roo
GOS148D605 80:91- b00Z/0Z/Zi