2016, 02-22 Permit App: BLD-2016-0482 Mechanical Fixtures Community Development
Permit Center l Pro ect # &D- o/ -67`.
Spokane 11707 E Sprague Ave,Suite 108 RECEIVE
s` ailey® Spokane Valley,WA 99206
® vPHONE: (509)720-5240
FAX: (509)688-0037 FEB 2 2 2016
PERMIT FEE:
Mechanical Permit Application ❑ Commercial ') Residential : 41/ pPRnnlT rEri 1 tk
SITE ADDRESS: /V/ /(// / l e7C� SUB # r • [V. rf
Building Ownery
Name: 0/ ,&<-0'73 L. —__ .,.....
l - ‹.y�S / Phone: _,,.//(0 Fax:
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Address: p.3.3/.3 Z.-_-'-', 4j?4Kek /! City: J 66.,l.c State:44_44 Zip:97ye(c
Contractor
-5-1,1-7-1-1 e
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
•
Name: Phone:
#UNITS
FURNACES
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Up to&including 100,000 BTU /
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER 0-3 TON I —
HEAT PUMP/AIR CONDITIONER Over 3-15 TON
HEAT PUMP/AIR CONDITIONER Over 15-30 TON
HEAT PUMP/AIR CONDITIONER Over 30-50 TON
HEAT PUMP/AIR CONDITIONER Over 50 TON
GAS WATER HEATER /per �artr p; S'�'c
GAS PIPING SYSTEM(each outlet) ,#" �'1 - ik I
GAS LOG,FIREPLACE,&GAS INSERT / 4-leeP
APPLIANCE VENTS P✓,
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) • • r,,nom 62 p.- icy
VENTILATION AND EXHAUST Each fan connected to a singe duct * �004 `.....,,
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 Dryer
UNLISTED APPLIANCES* Under 400,000 BTU
UNLISTED APPLIANCES* Over 400,000 BTU
HOOD(COMMERCIAL) Type I
HOOD(COMMERCIAL) Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM–FREE STANDING
`Unlisted refers to an appliance that has not n sted and certified a Nationally Recognized Testing Laboratory.Ex. Underwriters Laboratories.
Signature:
. ,,1 ---
CURRENT FEES AVAILAB AT: http://www.spokanevallev.orq Quick link to forms,then Master Fee Schedule