2013, 06-21 Permit App: BLD-2013-1174 Water Heatern 21 -1302:58p
?Iiiii
tr
S'pokane"'
Community Development
Mechanical Permit Application
SITE ADDRESS . ]� E .
--1r ■
Banner Fu =1
Project # 131d— a 3 — (7y
RECEIVED
Pcxmit Center
11703 E Sprague Ave, Suite . -3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)6
ermitcentcra• ukanevalle'
JUN 2 1 2013
840037 CSV PERMIT CENTER
SUB #L_ _, ❑ IMn �cial
Building Owner RJSMM' �•1`+
Name:
Phone: 511.-Cia. �d] fp
Fax:
Address:1 I ...�ti'0�"Ti
P+ Easj0S
City:iiliie.
®
Stafe :ATS
7i p:Cini 2.....
Contractor
Name:
Phone: 1'- �s
Fax:
Address:a.Z. � •
rE�
�r.sv
City: St,",..V
State: jA.
Zip:
License No:
City Business Lic:
Contact/ProjectManager:
Name:
Phone:
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER
0-3 TON
AIR CONDITIONER
AIR CONDITIONER
Over 3-15 TON
Over 15-30 TON
AIR CONDITIONER
Over 30-50 TON
AIR CONDITIONER
Over 50 TON
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
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 3 - 15 hp -100,001 to 500,000 BTU
Over 15-30 hp - 500,00110 1,000.000 BTU
Over30 hp- 1,000,001 l0 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
Over 50 hp - over 1.750,000 BTU
Each unit up to 10,000 cfm, including ducts
Each unit over 10,000 dm
EVAPORATIVE COOLERS(otherthan portables)
VENTILATION AND EXHAUST
VENTILATION AND EXHAUST
Each fan connected to a singe duct
VENTILATION AND EXHAUST
INCINERATORS
Each ventilation system
Each hood served by mechanical exhaust
Installation or relocation of residential
INCINERATORS
Installation or relocation of commercial
APPLIANCES
UNLISTED APPLIANCES
Range, Clothes Washer
Under 400,000 BTU
UNLISTED APPLIANCES
HOOD
Over 400,000 BTU
HOOD
L P STORAGE TANK
Type I
Type II
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM -FREE STANDING
❑CASH ❑ CHECK ,VISA ❑ MC
CARD #: REDACTED
EXPIRES: riIVIN. REDAC I tv
SIGNATURr REDACTED
P:\Community Development\02 Administration \03 Forms - Olhiciat Versions\Permit Centerclvtcchanical Permit Application 04-03-09 dg.doc
i
ro
G1
`u
confidential
pursuant to SOS DAN
-O
N
O
L
N
C
cu
E
u
0
'o
i