2013, 02-01 Permit App: BLD-2013-0165 Mechanical Fixture 02/01/2013 12:05 2087621478 RDI HEATING PAGE 02/02
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stiok,,,,o� 11703 E Sprague Ave,Suite B-3
�""'a`""'��' Spokane Valley,WA 99206 PERMIT NUMBER:
Val (509)688-0036 FAX (509)688-0037 PERMIT FEE: c(j���
Community Development oermitcenterCa�snokanevallev ern
Mechanical Permit Applicationf ❑Commercial j1 Residential
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SITE ADDRESS: to--719a E, a W ave., Sca)kari Q. �dd t e.Y
Building Owner
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Name: -e\oCi,S C t�0Ai to Phone: 5-Oq_9 `{ Lielik 4Fax:
Address: (U7o�a D�CD lye_ City:S.d(•,rg 'Q Ut_k\' State: 1.4)A Zip: 19,02,01P
Contractor 1, G Q
Name:t��)s fCeSazi4(�k A�ttn Phonea�O..76a' 7$5.'� Pax:AO —76r�.- i-78
-Address:g44-)1/41,C', ern M e12� GAN City:g/AV\LC�m State:r o Zipg 5 s z5--
LicenseNo:'ikvl,ikGCq(I C s 1 City Business Lic:
Contact/Project Manager: ... .. , p • •
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e:`P0.-N�- �.1 Phone'o�0$V7/ - is 5"!v1
#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 cm including ducts
vro -o
AIR HANDLER(DOES NOT include ducting) Each unit over 10,000 dm — c u o C,
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EVAPORATIVE COOLERS(olher than portables) « 3 mb
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.VENTILATION AND EXHAUST Each fen connected toe singe duct $ o_ ai m
VENTILATION AND EXHAUST Each ventilation system ~
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VENTILATION AND EXHAUST Each hood served by mechanical exhaust Te .2 o a
INCINERATORS Installation or relocation of residential c E o = o
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INCINERATORS _ Installation or relocation of commercial o A c D t�7
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APPLIANCES Range.Clothes Washer = N Q
UNLISTED APPLIANCES Under 400,000 BTU m
w d c.'m v+
UNLISTED APPLIANCES Over 400,000 BTU 3 _ y `o O
HOOD Type I c « `l
HOOD Type II _ v d 4-, m
L P STORAGE TANK • t o e 3
WOOD OR PELLET STOVE INSERT
4 u 3 % a
, WOOD STOVE SYSTEM—FREE STANDING Ve
❑CASH 0 CHECK )4 VISA ❑MC EXPIRES: VIN; Se ���/` �.ep -
CARD# 5 i?e_ n^v e1C 5kec#- eQ. SIGNATURE'-4 1, 1
P:\Community Development\02 Administration\03 Forms-Official Versions\Permit Center\Mechanical Permit Application 04-03-09 dg.doc
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