2013, 02-21 Permit App: BLD-2013-0270 Insert, Piping 02/22/2012 08:17
I . 5094678257 COUNTRY HOMES POWER PAGE 01/01
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Permit Center 4/ 2407_02.7o
'{r I1703 e.Sprague Ave.Suite B-3
r it (polwne Valley,WA 99206 37 r
COP RMI 'NUMBER:
Community Development
pgpttitcenter-(q�pokaneve►te PERMIT FEE: L(,i.00
Mechanical Permit Application ❑Commercial [I Residential
SITE A.DD S: /f014 J Eges117 4a JR-
;•$iilp)Ipg,(ivner :. . . •• -
Name: efWer �O.✓ N gG Phone: 6"43- /o Fax:
Address; /934 $ dewer,Cy 4 4a- JIM- City; .i 1,444e-9,. State: A, Zip: AVAP-
',Name:Gbtittnctor, •' � / / • •
•
O� J Fax: ���SIQ ���/ � Phone: Tff�``� ,114 'y6r� �i:�D+
Address:
�/0 /J✓. 4} � it: :5��CState; l<,k. Zip: fgZp p-
License No: 141/1314��1.- City Business Lic:
•.Coutact/Pea •JectIfaasgert
Name: � i Phone: 2 .
*UNITS
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION U•to&lndudin 100.000 BTU
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Over 100,000 ETU
DUCT WORK SYSTEM _
HEAT PUMP/AIR CONDITIONER 0-3 TON
AIR CONDITIONER Over 3-1S TON —
AIR CONDITIONER Over 15.30 TON
AIR CONDITIONER . Over 30.50 TON
AIR CONDITIONER . Over So TON _
GAS WATER HEATER
GAS PIPING SYSTEM(each outlet) % __L
GAS LOG.FIREPLACE,&GAS INSERT
APPLIANCE VENTS INSTALLATION.RELOCATION,REPLACEMENT
REPAIRS OR ADDITIONS
BOILER,COMPRESSORS.ABSORPTIONS SYSTEM 0 to 3 h *00,000 BTU or less
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 3-IS hp-100,001 to 500,000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 15-30 hp-$00,001 t01 000.000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over a0 hp-1,000,001 to 1,750.000 BTU
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over SO hp over 1.750,000 BTU
AlR HANDLER(DOES NOT Indude ducting) Each unit up to 10,000 OM,including ducts
AIR HANDLER(DOES NOT include ducting) Each unit over 10,000 dm
EVAPORATIVE COOL$RS(other than ponablee)
VENTILATION AND EXHAUST Each fan connected to a singe dud
VENTILATION AND EXHAUST Each ventilation S stem
VENTILATION AND EXHAUST Each hood served by mechanical exhaust
INCINERATORS Installation or relocation of residential
INCINERATORS - Installation or relocation of oommerdal _ This
APPLIANCES Range.Clothes Washer ronf.. d0curyrQ +
UNLISTED APPLIANCES Under 400,o00STU was re ntra/rr nt o •
UNLISTED APPLIANCES Over 400,000 BTU pard the cted p4drt carer'."a//y
co
HOOD Type I _
Pars,.
to grna/4ant to Rv"rat/h°tainea
LPSTORAGETANK TypeHOOD II so,04/VGS2pZrne3 es,7S ohich
Z0
WOOD OR PELLET STOVE INSERT
0, oyed
WOOD STOVE SYSTEM-FREE STANDING p
❑VISA EKG EXPIRES F EDP U 11`"C3 VIN:
OCASH El CHECK REDACTS
CARD*: FILUM;I cJ SIGNATURE
1
P:\Communfty Developrneni102 Adminfstration103 Forma-Official VersionslPermit CenterrMechanical Permit App 04-03-09 dg,d0e