2014, 03-10 Permit App: BLD-2014-0419 Insert 0. 7/2014 17:23 5099289029 FALCO PACE 02/02
, t Project #12L-D-D•4it4- OLt tc(
RECEIVED
•f, PcrmitCcntcr MAR 10 7014
S., ,Ski'" m �'rr. I]703 E Spr<tguo Ave.,Suite 2-3 PERMIT NUMBER:
!'�l� L Spokane Valley,WA 99206
�/f alley (509)688-0036 FAX:(509)6SR-0037 CSV PEratfitP32ENTER
Community Development DAtBjttsater Sp_ok3Devallcv,oug _
Mechanical Permit Application ❑ CoKle Oitl kiResl b(tiOl
SITE ADDRESS: 1 (2-I °I L'. 4 31-2,4 '
tialdrn Ow
. g., ..... :,... ., _ . : . . •;.,:� Mx;rC ; h.lig, 9
i,
Name: p - Ta-es mimic: • -- deal:.
, L,.-.1/O Z•I FaX
Address: 1 1 2l ci 6, 23 r-4 City: ►; hc. State: ix.)(-\- lip:qqa,.0(e
a., 1. .r. J. �I: rI -,`'l'I:IL I i, ^�l��l�9rs;;'.'Ji�: •'il :.....
�l. r.�.; -.,..I. ,:.....1.9' ::�, .J.: ,..I,. l: �r�.
,.CnntrAltbf is u.:.i,: 1 'k!: ia=a�`.7"'�II 1;.,,.� I L,�';
Name: igi W •
Phono: �/��M� ( Fax: 0 j a '_-
. Address: / b G . r n w /�� sE City: �Di',�,�KE State: Wk. Zip: pry 7.4*b
License Na
City Business Lie:
. CnFo11cc MAEt ,..,..... . . UI ,,...:.. 4I ,: .to, i' a :a
t
..G.....4.. .S...►,.D
.
•CDAPhono:
*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 r,_,,--_
AIR CONDITIONER Over 95-30 TON
7 S
• AIR CONDITIONER • Over 30-50 TON oI G1 ..,
AIR CONDITIONER Over 50 70N Na- 9
• . GAS WATER HEATERt 3 0-
O
• . GAS PIPING SYSTEM(each outlet) O O G C —
GAS LOG,FIREPLACE.8,GAS.
Licen • oo, O —
APPLIANCE VENTS INSTALLATION,RELOCATION,REPLACEMENT 3 . 3
REPAIRS OR ADDITIONS0
BOILER,COMPRESSORS.ABSORPTIONS SYSTEM 0 to 3 hp-100,000 BTU or less 0 * ? �_
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 3-13 hp-100, 50
001 to 0,000 BTU C co +_
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Ovor15-30h600,001to1,000,000BTU 7 g-n —
± r
BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 30 hp-1,000,001 to 1,750,00o BTU r` n O
Z.
BOILER,COMPRESSORS ABSORPTIONS SYSTEM ,__ Over 50 hp-Over 1,750,000 BTU CIn DD C. to
AIR HANDLER(DOES NOT Include ducting) _ Each unit up to 10,000 cfm,Including ducts G C •
AIR HANDLER(DOES NOT Include ducting) L _ Each unit over 10,000 cfm -
EVAPORATIVE COOI+ � C OdRS(other than portables) ,O
VENTILATION AND EXHAUST Each fan connected to a singe duct - a C A
VENTILATION AND EXHAUST ' Etch ventilation system _ tv j0 fi,
VENTILATION AND EXHAUST Each hood sorvcs1 meoMnIo l exhaust _
INCINERATORS Installation or relocation of residential O N
INCINERATORSInstnllatlon or relocation of commercial O.
APPLIANCES Range,Clothes Washer in 0
CO o0
UNLISTED APPLIANCES _ Under 400,000 BTU Z G ct,
UNLISTED APPLIANCES Over 400.000 BTU .
HOOD _Doe I —
HOOD T •e II
LP STORAGE TANK ` 1
WOOD OR PELLET STOVE INSERT 1 I 1
WOOD STOVE SYSTEM-FREE STANDING _
OCASH a CHECK kr-VISA 0 MC `EXPIRES: ^REDACTED �'"` REDACTED
CARD IP SIGNATU
REDACTED
P:1Community Developmenl\02 Administration103 Forms-Official Veraions\1'ermit Center\Mechn cal Permit Application 04-03-09 dg,doc