2009, 09-03 Permit App: 09002840 Gas Pipinginstitu for Integ jnagtaltncare LUUICS Pia vw
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter u,snokanevallev.org
Community Development
Mechanical Permit Application
PERMIT NUMBE
PERMIT FEE:
❑ Commercial 14 Residential
SITE ADDRESS: `i 6 a( E` M L S's / a
�r>±tevs cte 796l4
Building Owner
Name: -"V o h 14
Address: 2-1 (o 7.2x, \ (
Contractor
Phone: S (ftl'Lt7 s' -(2b -)b
Fax:
City: C Ir���tvC 1.e
State: w /L Zip:7jo/6
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact/Project Manager:
Name:
Phone:
❑CASH 0 CHECK 0 VISA 0 MC
CARD #:
EXPIRES:
SIGNATURE
„_ http://www.integrative ;healthcare.org/mt/archives/2005/11/
VIN:
8/29/2009
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU'P
e 0 t7
DUCT WORK SYSTEM
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rid
I V
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)
i
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 -1,000,001 to 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
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 SYSTEM - FREE STANDING
❑CASH 0 CHECK 0 VISA 0 MC
CARD #:
EXPIRES:
SIGNATURE
„_ http://www.integrative ;healthcare.org/mt/archives/2005/11/
VIN:
8/29/2009