2007, 04-02 Permit App: 07001048 Heat Pump, ACS nielane e
4000Wthy
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
ADDRESS: 3S—,,,,2 Li /V- D(' (� Z2oD p
-7
PERMIT
USE: ..
OWNERrte) PW- - Sec, 035-12-7
�e
PHONE (Daytime Contact): C3,9 _ s --n- C./
MAILING ADDRESS:
3s2q &. & G.)e tioi) VIA1/0-/- A 9,2,2
(u
(street) (city/state) (ZIP)
CONTRACTOR: A( t__ 1 f)0_0
LICENSE t: A (R ? a, 970 zla
MAILING ADDRESS:
53-n t9 Mt1ttoy.) Spoke,-n45uvviti-,
PHONE :: 509 - C/Sa-7333
1441 99a, 2
(street) - (city/state) (ZIP)
METHOD OF PA
CASH ❑c
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
1 OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
-OR < 100,000
X
515
•
2
FUEL BURNING APPLIANCE
> 100,000
X
519
-
3
UNLISTED APPLIANCE (ADDTIIONAL FEE)
•OR<400,000
X
550
•
4
UNLISTED APPLIANCE (ADDMONAL FEE)
> 400,000
X
5100
•
5
USED APPLIANCE (WSEC mm AFUE calms)
• 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/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
!AOC 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 dueling)
- OR <10,000CFM
X
512
•
21
AIR HANDLER (DOES NOT Include ducting)
>10,000CFM
X
519
•
22
EVAPORATIVE COOLERS
-
X
510
•
23
TYPE 1 HOOD
-
X
550
-
24
TYPES HOOD
-
X
510
•
25
HEAT PUMP/AIRCONDITIONER
0-3 TON
(
X
512
•
/Z
26
AIRCONDITIONER
3_15 TON
X
520
-
27
AIRCONDrFIONER
15-30 TON
X
525
•
28
AIR CONDI LONER
30-50 TON
X .
_ 535
-
M
AIRCONDRIONER
.50 TON
X
560
-
30
LPG STORAGE TANK
-
X
510
•
31
WOOD OR PELLET STOVE/INSERT
-
X
510
•
32
WOOD STOVE - FREE STANDING
-
X
525
•
KENT
-
r ': ` '
iY:dfilflZT1:
SUBTOTAL:
/2 (71)
PLUS PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE L/7 00
V
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE: