2013, 08-21 Permit App: BLD-2013-1661 AC19 13 05:36p
Spokane
�Valley
Community Development
Mechanical Permit Application
Banner Fuel
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
oerrn i tccnt endspokaneva I I ev, orK
5UU 5:15 a tic
COPY
- 2_ - 1 (0 (0 /
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial Residential
SITE ADDRESS: 4 0121 E ` `EKt (
Building Owner
Name: C...4Nati k-1 �
Phone:th(r_�.-<�(� 2'
Fax:
Address: ' C' 21 F - 4 FR.()City:�F
•
�. `-•
f.4
(
State: Na
Zip: C11
e1 ZI
Contractor
Name: ti t
Phone:
City' 4)t ) K4•f �i t' _
171 1Fax:
State: Ulvy�
Zip:
Address: 1? 2, ti • H LErA
License No:
City Business Lic:
Contact/Project Manager:
Name:
Phone:
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100.000 BTU
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER
0-3 TON
AIR CONDITIONER
Over 3-15 TON
AIR CONDITIONER
Over 15-30 TON
AIR CONDITIONER
Over 30.50 TON
AIR CONDITIONER
Over 50 TON
GAS WATER HEATER
GAS PIPING SYSTEM (each outlet)
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION. REPLACEMENT
REPAIRS OR ADDITIONS
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 hp -100.000 BTU or less
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 3 -15 hp -100,001 to 500,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 - 30 hp - 500,001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 hp -1,000,00110 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 50 hp - over 1,750,000 BTU
AIR HANDLER (DOES NOT include ducting)
Each unit up to 10,000 cfm, Including ducts
AIR HANDLER (DOES NOT Include ducting)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS/other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
VENTILATION AND EXHAUST
Each ventilation system
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or relocation of commercial
APPLIANCES
Range, Clothes Washer
UNLISTED APPLIANCES
Under400,000 BTU
UNLISTED APPLIANCES
Over400,000 BTU
HOOD
Type I
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM - FREE STANDING
❑CASH ❑ CHECK ti VISA ❑ MC
CARD #:
REDACTED
EXPIRES REDACTED
SIGNATURE
VII
P:1Community Development\02 Administration\03 Forms - Official Vcrsions\Permit Center\Mechanical Permit Application 04-03-09 dg.doc
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN GS2014-030.