2010, 06-23 Permit App: 10001850 Furnace _/�� Permit Center
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a 11703E Sprague Ave,Suite B-3 '/�� I Lam".
P Spokane Valley,WA 99206 'L/ PERMIT NUMBER:
Pall (509)688-0036 FAX:(509)688-0037
�e permitcenterna,spokanevallev.org PERMIT FEE:
Community Development
Mechanical Permit Application n Commercial n Residential
SITE ADDRESS: IIOp -C) e SpoK- rie V'a4(,0`1 ldua 97dol0
Building Owner 2),a n e, S J K±
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Name: 3� Phone: / C,OST f „..,��"4�Fax:
Address: Ci me, State: Zip:
Contractor 12,,,y it 1 vy\�`:Y- 1 ✓1
Name: Phone: 5oR o2(G!. 7 3 Fax:
Address: City. L State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#UNITS
FU'. &SUSPENDED HEATERS-INSTALLATION OR RELOCATION Up to&includi 100,000 BTU
SUSPENDED HEATERS-INSTALLATION OR RELOCATION Over 100,000 B
T ORK SYSTEM
P 1'/AIR CONDITIONER 0-3 TON
lip At
AIR ONDITIONER 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 cfrn
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST Each fan connected to a singe dud
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
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/BuildineMechani calPermitAppli cation040309.doc