HomeMy WebLinkAbout2003, 10-21 Permit App: BLD-03-02847 Furnace, Piping*lane
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Spokane
.Valley
Mechanical Permit Application
11707 East.Gprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
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PROJECT 69_,/c, 1k / vti 61
ADDRESS: iY„ l LGA WYE- 1 14 �J !
PERMIT
USE:
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OWNER/k ,,�.a — ir_',}.H,,, _ ��
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PHONE (Daytime Contact): 32,7 - L-/,$1.-/-)
MAILING ADDRESS:
S//4
EQUALS
(street)
(city/state)
(ZIP)
CONTRACTOR: ,<3� f T�c. �- {
1�11
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LICENSE #:
A, K__F�
MAILING ADDRESS:
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PHONE #:
FUEL BURNING APPLIANCE
> 100,000
(street) 3
(city/state)
(ZIP)
METHOD OF PA
❑ CASH ❑ C
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
8OFUNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
- OR < 100,000
X
515
-
/ 5
2
FUEL BURNING APPLIANCE
> 100,000
X
519
-
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
• OR < 400,000
X
$50
-
4
UNLISTED APPLIANCE (ADDITIONAL FEE)
> 400,000
X
5100
-
5
USED APPLIANCE (WSEC min. AFUE rating)
• or <400,000
X
550
-
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
5100
-
7
BOILER/REFRIGERATION
1 - 100M BTU
X
515
-
8
BOILER/REFRIGERATION
101 - 500M BTU
X
528
-
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$39
-
10
BOILER/REFRIGERATION
1001 - 1,750M BTU
X
$57
•
11
BOILER/REFRIGERATION
+1750M BTU
X
595
-
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
510
-
13
RANGE
-
X
510
-
14
DRYER
-
X
510
-
15
FUEL BURNING WATER HEATER
-
X
510
-
16
MISC FUEL BURNING APPL.
-
X
510
-
17
GAS PIPING (ea. Outlet)
-
X
51
-
f
18
DUCT SYSTEMS
-
X
510
-
19
VENTILATING FANS
-
X
510
-
20
AIR HANDLER (DOES NOT include ducting)
- OR < 10,000CFM
X
512
-
21
AIR HANDLER (DOES NOT Include ducting)
> 10,000 CFM
X
519
-
22
EVAPORATIVE COOLERS
-
X
510
-
23
TYPE I HOOD
-
X
550
•
24
TYPE II HOOD
-
X
510
•
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512
-
26
AIR CONDITIONER
3-15 TON
X
520
27
AIR CONDITIONER
15-30 TON
X
525
-
28
AIR CONDITIONER
30.50 TON
X
535
-
29
AIR CONDITIONER
+50 TON
X
560
•
30
LPG STORAGE TANK
-
X
510
•
31
WOOD OR PELLET STOVE/INSERT
-
X
510
-
32
WOOD STOVE - FREE STANDING
X
525
•
VIENT
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VISA 4W;t
SUBTOTAL:
/
PLUS PROCESSING FEE
$35.00
ems^ 'v
TOTAL PERMIT FEE DUE: J �.
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE: