2012, 03-01 Permit App: BLD-2012-0063 FurnaceCummntity Development
Mechanical Fermi
SITE ADDRESS
D01#41 r,r er
Name
Address.
Pamrt Center
1 703 R Sprague Ave. Suite 8-3
Spokane Valley, WA 49205
(50.9)686-0(136 FAX. 00916118-0037
`—thy D.oilkmae y sCC
Application ❑ Commercial
�Resldebtial
1r'
13406- -26/2 4063
PERMIT NUMBER:
PERMIT PEE:
fes•_ Are .
a.
Name
Address; 1�� 7
Laces -is.) No: s-ruem
on,"CJ( .
Zip-- 1)
Phone
Gly .509 rtes D5_ Fax ,�tfi�% 3 P7c X0/•5
Q star I`. /4i Zcp.
DESCRIPTION Or WORK
FUEL BURNING APPLIANCE _
FVEI,BU_ity_APPLtgNCE
UNLISTED APPLIANCE Additional Foe
UNLISTED APPLIANCE Additional Fee
USED APPL4W CE SEC mitt. AFUE ralin •
USED APPLIANCE SEC mm. AFUE rutin_
BOILBR/REFRIGEAtON
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
c
City Business Gw:
none* s Q
9 Sas = Ys'o s=
E • ual to or fess than 100,000
More than 100 000
E gal to or less than 400 000
0 OF UNITS
TOTAL AMOUNT
$15.00
S BOG. GAS INGAS FIREPLACE
RANGE
DRYER
FUELBURNING WATER HEATER
.1 MiSC. BURNING APPLIANCE
GAS PIPING each ogee{
�� cUCT SYSTEMS
Li'JrmEn
AIR HANOLLR DOES NOT include ducfr,
AIRINDLJPOTTh
qude d c(inr
EVAPORATIVE COOLERS
TYPE HOOD
TYPE IIN000
Mgr HEATPUMP/A►R CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER —
AIR CONDITIONER
LPG STORAGE TANK
1 -10QM BTU
101- 500M BTU
6100.00
550.00
5100.00
*12.00
501 • 1,000M BTU
1 001 -1 7SoM BnR
More than 1750M BTU
$25.00
*35.00
60.00
$10.00
10.00
$10.00
$10.00
$10.00
$1.00
$10.00
E ual fo or fess tha 10 FM
Greater Ulan 10,000 CFM
10.00
$12.00
$15.00
$10.00
More _heti So TON
WOOD OR PEI.(,ET STOVE/INSERT
WOOD STOVE .. FREE STANDING
REPAIR & ADDITIONS
VENTILATION SYSTEMS
VENTILATION MECHANICAL FXNA UST
INCINERATOR – RESIDENCE
INCINERATOR- COMMERCIAL
METHOD OF PAYMENT!
UCASH 17 CHECK @7 VISA [7 MC
CARD 0
AUTHORIZED Sn q.M tgees:
RevrsED taws�y Q/V/t1�
REDACTED
57.0.00
525.00
$35,00
560.00
510.00
525.00
S1s.00
*12.00
et, ‘07/44:2441
Received Time Feb. 21. 2012 10:53AM No. 6499
$22.00
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE_
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.