2005, 06-20 Permit App: 05002075 Pool Heater, Pipingr *Alt'
Valley
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA '99206
509-688-0037 - Fax
PROJECT [�Q
ADDRESS: isyl to
/ . I
e �yl JrL ,(�
PERMIT -
USE: �Lv�'[mtivw''') Vv0-v—SW/ a'
�ATvE.
OWNER: (,4% I Nun? it/ i4i144.0
PHONE (Daytime Contact): 9-.024/ -- I .3 3
MAILING ADDRESS:
lS C, EU nv ., 111 tkil t 99;9/66 --/c?Z 7
(street)
AMOUNT
1
(city/ tate) (ZIP)
CONTRACTOR:/
4��R
�/
X
515
LICENSES: / �-f-r. /CI"
` rpo
MAILING ADDRESS:
E—
FUEL BURNING APPLIANCE 00051
5100,000
k
PHONE It: 92f 6-5175........--
t» - 993-4•
(street)
/
/9. PC
3
(city/state) (ZIP)
METHOD OF PA
0 CASH ❑ CHECK
DATE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
0
EXPIRES:
DESCRIPTION OF WORK
It OF LINTS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
• OR <100,000
X
515
•
2
FUEL BURNING APPLIANCE 00051
5100,000
X
519
•
/
/9. PC
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
• OR <400,030
X
550
'
4
UNLISTED APPLIANCE (ADDMONAL 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- 103M 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
MISC FUEL BURNING APPL.
-X
510
17
GAS PIPING (ea. Outlet)
-
/
X
51
•
/ v a
18
DUCT SYSTEMS
-
X
510
-
19
VENTILATING FANS
-
X
510
-
20
AIR HANDLER (DOES NOT Indude ducting)
• OR < 10,000CFM
X
512
21
AIR HANDLER (DOES NOT Indudeducting)
510,000 CFM
X
319
•
22
EVAPORATIVE COOLERS
-
X
510
•
23
TYPE I HOOD
-
X
350
•
24
TYPE II HOOD
-
X
510
•
'25
HEAT PUMP/AIR CONDMONER
03 TON
X
512
-
26
AIRCONDITIONER
3-15 TON
X
520
•
27
AIR CONDITIONER
15.30 TON
X
525
•
28
AIRCONDRIONER
30-50 TON
X
535
-
29
AIR CONDMONER
+50 TON
X
560
'
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLET STOVE/INSERT
-
X
510
•
32
WOOD STOVE - FREESTANDING
-
X
525
•
YhIEM
_
SUBTOTAL:
aft 0 0
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT EEE DUE: 5.15:170
0 CASH ❑ CHECK
DATE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
0
EXPIRES: