2004, 01-29 Permit App: BLD-04-03486 Mechanicla FixturesNOV 04 200 ! 1510Z r'r;
0000%.:
Sorane
.000\illey
TO 1391131.4
P.01/01
11707 >.att Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688.0037 - Fax
For Inspections. call 509-688-0054
-Mechanical. Permit Application
- (a,
PROJEcr PERMIT
Ai:MUSS: /93/7 E4Sr_Trym1 /A'►'E.USE: iNs771L-L GAS FU J/Ca
owNslt TA-nem/4 !o rn Lv
MAILING ADDRESS:
PHONE (Daytime Contict): 31/ii .31 o 0
1'1317 MST mow GeF-Erg9xib
(street) (city/state) (ZIP)
CoN TRAL-roxr oFFicivicy PLUG -rr .
MAILING ADDRESS:
rIFINSE�: Z cPi4 qez m,37/3-7
PHONE/:
(509) 124"o
yo
id" -56,/S
1590 6 E, prt tied Sip(dtyniielout o y VJ/1 WA- er037 —
(street)
sate} (ZIP)
METHOD OP PAYMENT
❑ CASH 0 GHECK in =man
DATE: ...
BANKCAPD NUMBE)t. —
A[mi0R12ED SIGNATURE: 9
JAN 29 2004 09:52 r`
stIOTOTAL
'1-7.00
PLUS PROCESSING FEE 1 535.00
TOTAL roma FEE DUE:hI !off•Oe
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document d stro d
pursuant to 50941A j eft- • �1 Itw
PPGt.01
DESCRIPTION orWink
a OR 4101000
1OfUNTIS
X
x
COST
is
EQUALS
•
AmotW
11.8.-00
1
FUEL BURNING APPLIANCE -
2
MEI_ BURNING APrJANCE
> twee
X
5U
-
3
1
UNLLSTEP ArPLtAI CY (ADDri1ONAL FEE)
-OR*WWI
•
X
550
-
UNLOTED APPLIANCE (ADOMONAL sag_
> /01000
X
5100
-
5
USED APPLIANCE (W5CC nm,. AiltE rating)
- or 4 f00,00O
X
00
-
6
USED AFIUANCE (WSBC min. AFUR radatl
' > 400,000
X
5100
-
7
BDILi1VRBPIC0M110N
1-10OM BTU
..
.......`
X
515
15
B OR.0-PAL 11AICERATION
101- 500M BTU
X
125
9
Don.o /RC =RATION
301.1.000M ITL
X
110
-
10
1011.61 66Rl ERA71ON
u101 • I.790M OTV
X .
537
•
11
a 01LUllEFRIGORAT1ON
I--4,11304ETVX
PS
-
12
CAS LOC CAS MDT. 1:A3ruseteAes
-
X
so
-
13
RANC:1
-
X
510
-
16
DRYER
-
X
510
•
15
FUEL RIMING WAITE HEATER
-
1
X
OD
•
10 - 00
16
V
bOSCFURL St1RNs.1cADPL,
-
kus rlrINC (w Outlet)
-
w
X
31
2 ,2A.....
16
OUCTSYSiEMS
-
X
no
-
ts
VOP(LAihv3;Ants
-
?
X
510
z
.ars NAND al (DORS NnT tndud4 ducting)
..OR 4 lo.0000M
X
511
21
MR HANDI. CR (DOES NOT )ndude ducting)
• 10,000
-
X
Ili
:
CYAFORATIV6 COOLERS
X
SIO
■
n
2t
Dal IHOOD
-
X
2:0
-
NMI n 420D
-
X
510
-
25
MEAT KW/Ant t_'ONDRTONEA
0.7 TON
X
512
25AIRcONurrniNEK
~
}1S TON
^-��i10
X
-
27
AIRCONDRiCNER
15•30 TON
-
45
-
, n
A:RCONDMONRR •
30.30 TON
1(
633
-
29
AIR CONDMONIR
.50 TON
X
S60
-
90 LPG
—
STORAGE TANK
-
X
110
)1
WOOD OR PELLET STOVE4 ME7 r
-
X
510
32
wo 3STOV6.611i6STANPINO
-
X
51B
■
METHOD OP PAYMENT
❑ CASH 0 GHECK in =man
DATE: ...
BANKCAPD NUMBE)t. —
A[mi0R12ED SIGNATURE: 9
JAN 29 2004 09:52 r`
stIOTOTAL
'1-7.00
PLUS PROCESSING FEE 1 535.00
TOTAL roma FEE DUE:hI !off•Oe
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document d stro d
pursuant to 50941A j eft- • �1 Itw
PPGt.01