2003, 10-15 Permit App: BLD-03-02787 Furnace, PipingS fielanka e
®,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''11
ADDRESS: -7).a5- L . C/%LOL(5L6
PERMIT
USE:
OWNER 'e t.+. --r _Mai' /J1! C4)cisx vl
`/
PHONE (Daytime Contact):
‘a y S311F/7/o _4
MAILING ADDRESS:
59n i) 664:1q-
992€ Z
(street) (city/state) (ZIP)
FUEL BURNING APPLIANCE
CONTRACTOR: b , •v,n n
��/ L
LICENSE F: -
X
MAILING ADDRESS:
--7a a5' 6- Crnuste S0,I4eLAt
PHONE 1:
/S 0(0
C °c 9 zv
(street) (city/state)(ZIP)
> 100,000
METHOD OF PA
0 CASH 0 C
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
39Z-
DESCRIPTION OF WORK
# OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
-OR <I00,000
.. 1
X
515 •
-
/S 0(0
2
FUEL BURNING APPLIANCE
> 100,000
X
519
-
3
UNLISTED APPLIANCE (ADDMONAL 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
1001- 1,750M BTU
•X
557
•
11
BOILER/REFR1GERATION
+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)
-
1
X
51
-
18
DUCT SYSTEMS
-
X
510
-
19
VENTILATING FANS
- -
X
510
•
20
AIR HANDLER (DOES NOT Include ducting)
•0R<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/AIRCONDITIONER
0-3 TON
X
512
26
AIR CONDITIONER
3-15 TON
X
520
-.
27
AIR CONDMONER
15-30 TON
X
525
25
AIR CONDFnONER
30-50 TON
X
535
-•
29
AIR CONDITIONER
+50 TON
X
560
•
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLETSTOVE/INSERT
-
X
510
•
32
WOOD STOVE -FREESTANDING
-.
X
525
-
KENT
— _Mali Vat.".x'1'
SUBTOTAL:
/5'02
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE: S 0 0D
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
39Z-