2012, 01-27 Permit App: 12000188 Mechanical Fixture /'\ Permit Center
S Y kane r _ 11703E Sprague Ave,Suite B-3 PERMIT NUMBER: ?-O
Spokane Valley,WA 99206
IP
4/0 VL (509)688-0036 FAX:(509)688-0037
PERMIT FEE:
Corhmunity Development permitcenterespokanevalley.org
Mechanical Permit Application� rEl Commercial %Residential
SITE ADDRESS: 2— r 2 ,v
Building Owner
Name: 3- (ftG (2.L r Phone:_ ? — . Fax:
Address: t•-z. ( 2 Jv t ( City.
s `4 (
State.G-3114.—,_,_
Z )LZ 2,
Contractor
Name: T I Phone:ycieZ7r Fax: Sark< GJ
Address: jIfit gLE- .1(61A. City:
State: W Zip:fju6
License NoBcfriffeilaresisivu City Business Lic:
Contact/Project Manager
Ii �j
Name: 3A( d p 1 t( Phone: (ld-22.4b
#UNITS V-t
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Up to&inducting 100,000 BTU
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Over 100,000 BTU (P f IC&c e
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER 0-3 TON '>' 'S Y.�t.'
/
AIR CONDITIONER Over 3-15 TON €iS P V R `C€
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 dm,including ducts
AIR HANDLER(DOES NOT include ducting) Each unit over 10,000 dm
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 Washer
UNLISTED APPLIANCES Under 400,000 BTU
UNLISTED APPLIANCES Over 400,000 BTU
HOOD Type I
HOOD Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM—FREE STANDING
EXPIRES: VIN:
['CASH 0 CHECK 0 VISA 0 MC
CARD t SIGNATURE
CURRENT FEES AVAILABLE AT: htlpi/www.spokanevaliey.orgf/upioads/Operationsand Administration/Finance/MaSterFeeSchedule.pdf
P:\Community Development\Building DivisionVodi-comm'i\PCF\DRAFT APPS\DRAFT Mechanical Permit App..doc