2011, 04-25 Permit App: 11001031 Gas PipingPermit Center
11703 E Sprague Ave, Suite B-3 ' ns
so Spokane Spokane Valley, WA 99206 ` I : PERMIT NUMBER:
VAiley` (509)688-0036 FAX: (509)688-0037 ', PERMIT FEE:
Community Development permitcenter@spokanevalley.org
Mechanical Permit Application ❑ Commercial ❑ Residential
SrFEADDRESS:
Building Owner V
f ! i R I ( 1. � II \ \.) E
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
Name:
Phone:
1 9 _
Ll �r� Fax:
T - —7 , J /
Address: 3 C 0 L V E— 3 v C>
City:
�. 1 � �!—
� (4 �`1P State: � Zip
Contractor J0 v 1A
Over 15-30 TON
AIR CONDITIONER
Over 30-50 TON
Name:
Phone:
GAS WATER HEATER
Fax:
Address:
City:
GAS LOG, FIREPLACE, & GAS INSERT
State: Zip:
License No:
City Business Lic:
REPAIRS OR ADDITIONS
Contact/Project Manager:
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 hp -100,000 BTU or less
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Name: p-1 �7 l Ci,-) L NR \ l) C
Phone:
Over 15 — 30 h - 500,001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://www. spokanevalley.orgluploadsICommunity—Development/Documents/Forms/Building/MechanicalPermitApplicationO4O3O9.doc
#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 h — 100,001 to 500,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 — 30 h - 500,001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 h — 1,000,001 to 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 50 h — 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 thanportables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
VENTILATION AND EXHAUST
Each ventilations stem
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
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
http://www. spokanevalley.orgluploadsICommunity—Development/Documents/Forms/Building/MechanicalPermitApplicationO4O3O9.doc