2015, 03-24 Permit App: BLD-2015-0625 Gas Line r
Community Development
S ''A Permit Center
okane 11703 E Sprague Ave,Suite B-3
V
Spokane Valley, 92a11ey PHONE: (509)720-5240WA906
FAX: (509)688-0037
Mechanical Permit Application ICI Commercial esidential
PERMIT FEE:
SITE ADDRESS: 1(0 TO
Building Owner
Name: -rksz 12:60\ .'T t"koetA S- Phone: Z 5 3-Z7 Z• plpFax:
Address:�f�al.C—�►,W4„ wA_ q +�pQ� City: I��d� wwtL State: w Zip:�$�Oct,
Contractor)) A V P. -3`-F �'��'
Name: %�v 60i UT' �C t� Phone: Fax:
Address: I t City: Ac_ tt State: Ar Zip:atOc
License No: orRV 1-6 Gt'LSG� City Business Lic:
Contact/Project Manager:
Name:copy luiktuvo, Phone: 5-01 -st63 el.Go
#UNITS
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
AIR CONDITIONER Over 3-15 TON
AIR CONDITIONER 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 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)
VENTILATION AND EXHAUST Each fan connected to a singe duct
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 IL �2' o� —�
UNLISTED APPLIANCES Under 400,000 BTU f rOJCt *� E1Z- ()(d,;.iS
UNLISTED APPLIANCES Over 400,000 BTU RECEIVED
HOOD Type I
HOOD Type II
L P STORAGE TANK MAR 2 4 2015
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM–FREESTANDING CSV PERMIT CENTER
Signature SUB # I ) REV.
URRE 'FEES AVAILABLE AT: http://www.spokanevalley.org Quick link to forms,then Master Fee Schedule