2011, 02-25 Permit App: 11000462 Range, Piping Permit Center 4.E �.
{' 11703 L Spin sue Ave,Sate B-3
S Okdn
Spokane Valley,WA 9 206 PERMIT NUMBER:
.000 Val ley (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development
ptirm(Ccrter ti,,'Lstie : or
Mechanical Permit Application Commercial n Residential
sill:ADDRESS: /0 80-3 /6 / lit (/ie
Building Owner
Name: Phone: , p53 Fax
Address: / CDj f' City: ,/, /7 /� State. Lip.
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Contractor n., SM 4-6 7�Ci
G�GrctC
Name: Phone: Fax:
Address: Pi) 86-2( 62 S- City: L State: ZA.. Lip. j f 0/y
License No: p ,4 tZc 9, J City Business Lie: Ze)0 505 20
Contact/Project Manager: �✓ S il
Name:
J #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 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 ❑CHECK ❑VISA ❑ MC
CARD#: SIGNATURE
P:ACommunity Development\02 AdministrationA03 Forms-Official Versions\Permit CenterAMechanical Permit Application 04-03-09 da.doc