2013, 10-07 Permit App: BLD-2013-2061 FurnaceOo4071G02:90p
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688.0037
p : iteenter� rspokanelallev.ore
COP
2.0 I -- 2-c*
RMIT NUMBER:
ERMIT FEE:
i
0 Commercial
Residential
SITE ADDRESS: ) O S S. ' `06i R ° " `"^
• Building Owner
Name: J-PGLY\ IVY' �J
Phone: - 3- 34_ Fax
Address: /Deg /DeS • p,(4, Md S F
City:4ld Line /h -It l I State: (till" Zip: Cl R.„1 dsp
: Contractor
Name: S40KotO6 C V\ crci SLISTCcvtS
Phone: ,s-:i.%.1_,.SVt,►- meas Fa" 50 -53(0- /44 e/
Address: (O N . F eLY.A St-
City: S't oKix06- State: w 1p, Zip:91 3.0 a
LicenseNo: S PoKi+C 9R, Ni
City BusinessLic: L1 1'473Y9-
Contact/Project Manager:
•Name: Erre ire,, -4 0 ii e_
Phone: ,_0G( - 53(0` :_itl a_S
FURNACES & SUSPENDED HEATERS•INSTALLAT1ON OR RELOCATION
Up to & including 100,000 BTU
FURNACES & SUSPENDW HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER
0.3 TON
f UNITS
2.01 -10440
AIR CONDITIONER
Over 3-15 TON
AIR CONDMONER
Over -M-30 TON
AIR CONDITIONER
Over 30-60TON
AIR CONDITIONER
Over 50TON
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
1
BOILER, COMPRESSORS. ABSORPTIONS SYSTEM
Over 3-15 hp -100.001 to 500,000 BTU
BOILER, COMPRESSORS. ABSORPTIONS SYSTEM
Over 15- 30 hp - 500,001 10 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 dm, Indudfng duds
AIR HANDLER !DOES NOT include dudinal
VENTILATION AND EXHAUST
Each ventilation system
VENTILATION AND EXHAUST
Each hood served by methanfeal exhaust
INCINERATORS
Installation or relocation of residential
INCINERATORS
installation or relocation of commercial
APPLIANCES
UNLISTED APPLIANCES
Rana, Clothes Washer
Under400,000 BTU
UNLISTED APPLIANCES
HOOD
HOOD
L P STORAGE TANK
_WOOD OR PELLET STOVE INSERT
W000 STOVE SYSTEM -FREE STANDING
Over400,000 BTU
Type
Type II
OCASH 0 CHECK A VISA [] MC
CARD #:
• REDACT EL)
- '-
EXPIRES:
SIGNATURE
-REDACTED
VIN:
LA„__t
i
REDAI t u
P:lCommunity Development\02 Administration\03 Forms - Official Versions\Perrnit CenterlMechanical 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.