2003, 09-09 Permit App BLD-03-02393 Water HeaterA19-29-03 02:53P
11707 East Sprague Avenue, Suite ) n6
*Oig e Spokane Valley, WA 99206
4;0oUalley
-Mechanical Permit Application
7,YeJ E EUt_'LIP
(street)
(city/state)
MEnj0D OP PA
(street)
(city/state)
509-688-0036 - Phone
sngAgM037 - Fax
3- X2)13
flZu T eMA111091 e9N
rw,ume com-o-- 4%>%7- N17r/7y
Or5CRI17TONOFWORK
aor LWTS
X
COST EQUALS AMOUNT
1 FUEL aVRN(Kf. APPL[ANCfi
-09<1 ODD
X
Ins0%
1 FUCLBURNINI)APPUANCE
>IMM
X
X
f19
350.
S UNLITIED APPLIANCEW)DEI'IONAL FEE)
-OR4600A00
.-
3 UNLLMED APPLIANCE (A00rrIONAL FEE)
>400 �
X
31001�
USED APPLIANCE(WSEC min AFUE ngl dn
•or <a00,000
X
$505
6 USED APPLIANCE CWSEC m& AFUS raring)
>WOAD3
x
10 0
3to
7 K01LERAEFRIOERAMON
1 • loom It
X
925
a EOILlR/KEfRIGFRATION
lot - mm Ulu
x
ROILERRIEFRIUSKATION
Sol •IAWM a1L
X
5"9
10 VOILP.WREFRICERATSUN
IODl-1,7W RTSI
X
357
11 SOIL ER/REPRICERATION
•175UM e'1V
x
X
"s
flo
CAS Tor. CAS INSERT GAS FIREPLACE
12
x
S10
IS RANCE
_
_
X
3111
U ORYER
15 FUEL a URNING WATER HEATER
x
-
MG FCCL WINING ADPL
E
1!
-
X
fl
51
17 GAS PIPC(co. 0.9.0
M
-
X
f10
13 Ducrsymw
-
-
19 YfiNl'ILATINC FANS
X
$12
20 ABR HANOI.RR(DOES NOr include J�olnl0
-OR<10,0WC,FM
11 AIR HANOL69 ([XIES NOT'ndude 0ut0n3)
•> lo -ON CYM
X
319x
22 EVAI'ORATIVEL-OOLERS
sill
X
so-
13 TYYEIHOOD
U TVPEnIIOOD
X
tll
25 HEAT PUMPIAIRCA)NDIfiONER
DJ TON
26 AIR CONDMONER
3.1s TON
x
X
-
f25
27 AIR COND1110NER
I" TON
20 AIRCONDMONSI
30'50 TON
X
S35
19 AIR CONOMONER
✓WTON
X
X
f60 -
310
m UKE9r0AACETANK
-
X
310
31 WOOD U0. PEI.LETfTOV&4N56M
-
X
fn
32 '00DfTOVi•FRfiE STANVtNG
-
SUBTOTAL: �� Ov
PLUS PROCESSING FEE: $35.00
YMCW
un�is
,/
TOTAL PERMIT FEE DUE: 116, L9d
❑ CASH (y❑ CClIIrCKK� rrr
DATE: _ �•�9•03 - EXPIRES: AEDACTE[3_—
DACTED
HANKCARlT NUMBER: - D
AUTKORIZED SIONA'fLIXF: ` �• ,.
.f
air. 2F; 2003 16:09
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.
PPGE.01