2003, 11-18 Permit App: BLD-03-03097 Heater, Piping*lane
e �``
,Walley
Mechanical Permit Application
c
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
509-688-0037 - Fax
Spokane Valley, WA 99206
ADDECT J . ' / A?.
E. c, 744.00
PERMIT )
USE:
OWNER c khq `)fl E
C'9 N.:)CL
7 / Qn / N
PHONE (Daytime Contact): 2,I6 43 9
4
MAILING ADDRESS: -
172/1 %. ni oTrituos &'Po /<,q
7
• 99
(street)
(city/state)
(ZIP)
CONTRACTOR:
X
LICENSE 1:
•
MAILING ADDRESS:—
PHONE 11: -
> 100,000
. X '
(street)
(dty/state)
(ZIP)
METHOD OF PA
❑ CASH ❑
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
-
I OF UNIT.S
X
COST
EQUALS
AMOUNT
FUEL BURNING APPLIANCE
. - OR < 100,000
X
' 515
•
2
FUEL BURNING APPLIANCE •
> 100,000
. X '
519
-
3
UNL6TED APPLIANCE (ADDITIONAL FEE)
-OR<400,000
X
550
•
4
UNLISTED APPLIANCE(ADDMONAL FEE)
>400,000
X -
5100
-
5
USEDAPPLUNCE (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 -S00M BTU
X
528
-
9
BOILER/REFRIGERATION
501- 1,000M BTU
X
S39
-
10
BOILER/REFRIGERATION
1001-1,750M BTU
X .
S57
-
Il
BOILER/REFRIGERATION
+1750M BTU
X
595
-
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
S10
-
13
RANGE
-
X
510
•
14
DRYER'
-
X
510
FUEL BURNING WATER HEATER .
-
X
510
-
' 16
MISC FUEL BURNING APPL.
-
X
' 510
. . -
17
GAS PIPING (ea. Outlet)
- -
X
51 .
-
18
DUCT SYStEMS
_
X
5-10
-
19
VENIILATINGFANS
-
X
510
•
20
AIR HANDLER (DOES NOT include ducting)
• OR < 10,000CFM
X
512
- - • .
21
AIR HANDLER (DOES NOT Include chiding)
>10,000CFM
X
519
-
22
EVAPORATIVE COOLERS
- -
X
510
.-
23
'TYPE I HOOD -
-
X
550
•
24
TYPE II HOOD
-
X
510'
-
25
HEAT PUMP/AIR CONDf1TONER
0-3 TON
'X
512
•
26
ARCONDPITONER •
3-15 TON
X -
520
-
27
AIR CONDITIONER
15-30 TON
X
525 '.
-
28
AIR CONDITIONER
30-50 TON
X
535
•
29
AIR CONDITIONER
♦50 TON
X
560
-
30
LPG STORAGE TANK
-
X
510
•
31
WOOD OR PELLET STOVE/INSERT
-
X
. 510
-
32
WOOD STOVE -FREESTANDING
-
X
525
•
9fENT
iNIONNOS
VISA•
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tity-.1);It
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE: