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2006-06-26 Permit No Number Plumbing Fixtures
reTmt center SpiRcane ® 11707E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)588-0037 Comintmity Development ummt..cnokanevafev.org Mechanical Permit Application Valley SITE ADDRESS: ❑ Commercial PERMIT NTJ BER: PERMIT FEE: // Residential 5 2. 5- (.0A-cif G' ,y 4c2e3, icA- fle/4, BuiicEtit veer 6uf LAI G� to Si?..._ Name Phone:.21 cgl9 y 2 O /me_ Fax: Address: a 5r1 '2_ .5 c c4 C City. 6 - State: /U 4- Zip' 9 0/ / h Contractor . Name: NI&/ s-(- Bkyis i� Ape / Ia0.0�//4��Phone: 73n9_2- q�290 Fax. -AL( �C/ao_ Address: I Y rv� S S !�"'_ City: E 0 w la Li— State: ki /�-- Zip:9 fd0 57 License ND:cR �Xs-' L1Q 5_ �k� City Business Lic: cc7it., 'fi 6r1hr,, . f A y A k 94- ,e7R ,ago- .ice` , ,; ..........°'• }...... .. Name:. Phone: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 2 FUEL BURNING APPLIANCE FUEL BURNING APPLIANCE Equal to or less than 100,000 More than 1 DD,000 $12.00 $15.0D 3 4 5 6 7 8 .9 10 11 12 13 14 15 16 17 16 19 20 21 22 23 24 25 26 27 26 29 30 31 UNLISTED APPLIANCE (Additional Fee) UNLISTED APPLIANCE (Additional Fee) USED APPLIANCE (WSEC min_ AFUE rating) USED APPLIANCE (WSEC min. AFUE rating) BOILER/REFRIGERATION BOILER/REFRIGERATION BOILER/REFRIGERATI ON BOILER/REFRIGERATION BOILER/REFRIGERATION GAS LOG, GAS INSERT. GAS FIREPLACE RANGE DRYER FUEL BURNING WATER HEATER MISC. FUEL BURNING APPLIANCE GAS PIPING (each outlet) DUCT SYSTEMS VENTILATING FANS AIR HANDLER (DOES NOT include ducting) AIR HANDLER (DOES NOT include ducting) EVAPORATIVE COOLERS TYPE I HOOD TYPE II HOOD. HEAT PUMP/AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER AIR CONDITIONER LPG STORAGE TANK WOOD OR PELLET STOVE/INSERT Equal to or less than 400.D00 More than 400.DOD Equal to or less than 4DD,D0D More than 40D,0DD 1-1DOM BTU 101-50DM BTU 501- 1.000M BTU 1.001-1.750M BTU More than 1,750M Equal to or less than 10,000 CFM\ GreaterTFian,10.000 CFM 0-3 TON 3-15 TON 1530TON 30-50 TON More than 5D TON 32 WOOD STOVE - FREE STANDING 33 REPAIR & ADDITIONS 34 VENTILATION SYSTEMS 35 VENTILATION MECHANICAL EXHAUST 36 INCINERATOR - RESIDENCE 37 INCINERATOR- COMMERCIAL METHOD OF PAYMENT: ©CASH ❑ CHECK ❑ VISA 0 MC CARD AUTHORIZED SIGNATURE: REVISED Vz6/OS EXPIRES: VIN: TOT. X $50.0D r $100.00 $50.00 3100.00 $12.00 $20.00 $25.00 S35.00 $60.00 $10.0D $10.00 $1 D.00 Sgo"kane�' Walley Community Development Plumbing Permit SrM ADDRESS: 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)686-0036 FAX (509)688-0037 ❑ Commercial PERMITFEE:BER PERMITResidential Building Owner . Nacos. Pbone. Fax: Address: City. State: Zip: C*Ab-Aetnr Name:. Phone: Fax: , Address: City. State: Zip: I3cense No: City Business Uc: 1 Nane: Phone: AUTHORIZED SIGNATURE: FZv= snsios