2012, 02-23 Permit App: BLD-2012-0015 Mechanical Fixtures`--7A"y� Spokane Valley, WA 99206
VQHgy- (509)688-0036 FAX: (509)688-0037
Community Development permitcenter(a)spokanevallev org
SITE ADDRESS: 1,76 _Y/0 7
Building Owner U N
Name:
Address:
Contractor
✓r� .
Name:
Address:
License No:
Contact/Project Manager:
Name:
FURNACES & SUSPENDED HEATERS -INSTAL
FURNACES & SUSPENDED HEATERS-INSTAI
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
GAS WATER HEATER
GAS PIPING SYSTEM fpnrh -M.A
AIR HANDLER (DOES NOT include
AIR HANDLER (DOES NOT include
EVAPORATIVE COOLERS(otherth
VENTILATION AND EXHAUST
LLE -STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM – FREE STANI
❑CASH D CHECK D VISA DMC
CARD #.
)E
–�
LE—k
PERMIT NUMBER:
PERNU FEE: !7n
❑ Commercial Residential
Phone: Fax:
City: State:
City Business Lic:
Phone:
to & including 100 C
Over 100,000 87
0-3 TON
Over 3-15 TON
Over 15-30 TON
Over 30-50 TON
Over 50 TON
0 to 3 hp -100,000 BTU or less
Over 3 - 15 hp – 100 001 to 500,000
Iver 15 – 30 hp - 500,001 to 1 000 0C
Over 30 hp –1 000 Dol to 1,750,000
Over 50 hp – over 1,750,000 BTI
_ach unit up to 10 000 cfm including
Each unit over 10 000 cfm
Each fan connected to a singe duc
Each ventilation system
=ach hood served by mechanical exh;
Installation or relocation of residenth
Installation or relocation of rnmm—F
EXPIRES:
SIGNATURE
VIN:
http:// yww.spokanevalley.orgluploads/Community Development(DocumentsIFomisIBuilding/MechanicalPermitApplicationO4O3O9.doe
Zip: