2009, 10-13 Permit App 09003300 Mechanical FixturesRECEIVED 10/13/2009 11:00 5096880037
0/13/2009 TUE 11:06 FAx 509 325 2615 ETURM HEATING
SV PERMIT CENTERFR
U001/001
- QF
Conta,BusmessLie: [O(p0 /08'
ct
Nam
1*
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n
.4
DESCRIPTION OF WORK
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
UNLISTED APPLIANCE Adaional Foe
UNLSTED APPLANCE lAeldelenal Fee
USED APPLIANCE (WSEC min. AFU�
USED APPLIANCE SEC min. AFUE ran
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
BOILER/REFRIGERATION
GAS LOG GAS INSERT, GAS FIREPLACE
m�.121
n
n
MISC. FUEL BURNING APPLANCE
GAS PIPING each cutlet
DUCT SYSTEMS
AIR HANDLER DOES NOTIOdutle dudinol
AIR HANDLER (DOES NOT include Aud'm•
EVAPORATIVE COOLERS
TYPEIN000
TYPE II HOOD
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
LPG STORAGE TANK
WOOD OR PELLET STOVE/INSERT
WOOD STOVE - FREE STANDING
REPAIR A ADDITIONS
VENTILATION SYSTEMS
VENTILATIO
tom•
Commwlhy Development
Mechanical Permit Application
SITE ADDRESS:
Wl• i g..
=MA
Add
G9li raerdr
a
Address: 7/4.a1
Llccnse No: S aem*
-'-u'
Permit Center
11703 L Sjv:lgue Ave. Suite/3-3
Spokane Valley, WA 99206
(509)5ER4036 FAX' (509)6R7-0037
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CHANICAL EXHAUST
INCINERATOR - RESIDENCE_
INCINERATOR - COMMERCIAL
METHOD OF PAYMENT:
OCASH ❑ CHECK E VISA O MC
CARD
AUTHORIZED SIGNATURE:
55VISC0 1/24W05
Al
9 330C- z
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial £ Residential
C}r
Phone
City
Stale
City. to u,2 507 50ra(fo/5
.ciotheczne. stare:W,4 zip'94acy,{
CIN
Phone:
Sd9 Sys `froF
E.ual to or less Man 100,000
Imo then 100.000
E•usl to orlees then 400,00a
More than 400,000
E. oat to or less than 400 000
More than 400 000
1 - 100M BTU
101-SOOM ETU
SOT • 1,000M BTU
1001-1 750M ETU
More than 1,750M BTU
OF UNITS
-
x
X
COST
$12.00
515.00 u
550.00 =
x
X
X
x
20.00
TOTAL AMOUNT
nth
00
535.00
SS0.00
510.00
t1IIlIlII1111III�
x
x
x
X
X
510.00
510,00
510.00
S10.00
S1.00
510.00
I U .--
I
E•ual to or leas than 10 000 CFM
Greaierthen 10,000 CFM
15-30 TON
30-50 TON
Moro than 50 TON
11111111
x
x
x
x
x
X
X
X
X
x
X
X
510.00
51200
520.00
$25.00
555.00
560.00
510.00
S10.00
S25.00
515.00
512.00
512.00
519.00
e
EXPIRES03/
:
VIN:
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to S05 DAN G52014.030.
X
SUBTOTAL
522.00
PROCESSING FEE
TOTAL PERMIT FEE DUE:
5.00
REDADTw