2013, 02-22 Permit App: BLD-2013-0272 Water Heater •b 21 13 11 : 53a Banner Fuel 509 535 8712 p- i
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Permit Center CO PY (�r tO1 J -OZ'v
Spokane 11703 G Sprague Ave,Suite B-3 PERMIT NUMBER:
e00'Valley Spokane Valley, (509)
99206
(509)688 8-0036 FAX:(509)688-00.17 !2 49.00
Community Development Permiteentcna,srnknnevallev.or PERMIT FEE: i'(
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Mechanical Permit ApplicationnCr. ❑ Commercial J Residential
SITE ADDRESS:jZr`3L1 E. 3 lrl C
Building Owner
Name: T11 �ljk :hI Phone:C3e6'- x,13 Fax:
Address: i z C:C-' city:Spoviwc State:wh Zip:Mae
Contractor
. Name: one:
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Address: City: Slate: %ior,2z0
License No: City Business Lie:
Contact/Project Manager:
Name: Phone:
#UNITS
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Up to&including 100.000 BTU
FURNACES&SUSPENDED HEATERS-INSTALLATION OR RELOCATION Over 100,000 BTU
DUCTWORK SYSTEM
HEAT PUMP/AIR CONDITIONER 0-3 TON
AIR CONDITIONER Over 3-15 TON
AIR CONDITIONER Over 15-30 TON
AIR CONDITIONER Over30-50 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
EXPIRE: REDACTED V'
OCASH 0 CHECK VISA OMC REDACTED
CARD#: REDACTED SIGNATURE K(:
P:\Community Devctopmcnt\02 Administration 103 Forms-OI'ticial Versions\Permit Centcr\Mechanical Permit Application 04-03-09 dg.doc
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN GS2014-030.