2015, 04-10 Permit App: BLD-2015-0796 Mechanical Fixtures'Spokane
.Valley•
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Mechanical Permit Application ❑ Commercial 2 esidential
PERMIT FEE:
SITE ADDRESS: LIZ 17 N (SCC. OVlcA tc' Spot/sow-to Vec\ke1 [2 4 Ci?2I
Building Owner
Name' A\e,,cse-Ar Ku1/4z,,eks1ov
Phone' og7g20757
Fax.
Address: /121 /fit 1A'ICi�OVlc�U v_A
co' 5po.(c,,v.e vaMl€Zr�
State. 1_.)1{l
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Contractor
Name:0 ��f
Phone'
Fax.
Address:
City:
State.
Zip:
License No.
City Business Lic:
Contact/Project Manager:
Name: A\ ek
Phone 60,174 10757
# UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
2_.
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100 000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER
0-3 TON
a
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
Z
GAS PIPING SYSTEM (each outlet)
4 )
GAS LOG, FIREPLACE, & GAS INSERT
,.....e-
�APPLIANCE
APPLIANCEVENTS INSTALLATION, RELOCATION, REPLACEMENT
REPAIRS OR ADDITIONS
Project
#PL1ty6IS-N1-9 k
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 hp -100 000 BTU or les
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 3 - 15 hp -100,001 to 500,00)
_
BTU
RECEIVED ec
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 — 30 hp - 500,001 to 1,000,(00
BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 hp — 1,000,001 to 1,750 000
BTU
APR 10 2015
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, includinh ducts
CSV PERMIT C E NTF R
AIR HANDLER (DOES NOT include ducting)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
1 SUB
#1 j
1 REV. #
VENTILATION AND EXHAUST
Each fan connected to a singeuc
VENTILATION AND EXHAUST
Each ventilation system
b A
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
4 2
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or relocation of commercial
APPLIANCES
Range, Clothes Dryer
X
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYV,EM — FREE STANDING
Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orp Quick link to forms, then Master Fee Schedule