Permit App: BD-03-00509 Mechanical FixturesStene
#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
D u3 -5O'
PROJECT
ADDRESS: 33/C2 L ag5 �
PERMIT
USE:
OWNER J A2n .,..SfoL-cfih w, CZ
PHONE (Daytime Contact):
MAILING ADDRESS:
/3'!/(0 e Qe-Snt Spot.AAito qca/C„
(street) (cit}'/state) (ZIP)
CONTRACTOR:
LICENSE 1:
MAILING ADDRESS:
PHONE 1:
•OR<100,030
(street) (city/state) (ZIP)
METHOD OF PA
❑ CASH ❑ C
DATE: EXPIRES: _
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
1 OF (WITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
•OR<100,030
1
X
515
•
15: CO
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
5131 - 1,COOM BTU
X
539
•
10
BOILER/REFRIGERATION
1001. 1,750M BTU
X
557
•
11
BOILER/REFRIGERATION
+1750M BTU
X
595
•
12
GAS LOC, 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 IDOES 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/AIRCONDn1ONER
0.3 TON
X
512
•
J2 60
26
AIR CONDITIONER
3-15 TON
X
520
•
27
AIRCONDMONER
15-30 TON
X
525
-
28
AIR CONDITIONER
30-50 TON -
X
535
-
29
AIR CONDITIONER
+50 TON
X
360
-
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLET STOVE/INSERT
-
X
510
•
32
WOOD STOVE -FREESTANDING
-
X
525
-
t
4ENT
van:SPas
SUBTOTAL:
27-00
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE: 1p &aa
DATE: EXPIRES: _
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: