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2003, 12-10 Permit Application: BLD-03-03240 Gas Log, Insert, FireplaceOTY (A: Sp+kane .000Valley 11707 East Sprague Avenue, Suite 106 Spokane Valley, WA 99206 509 - 688 - 0036 - Phone 509 - 688 -0037 - Fax Mechanical Permit Application PROJECT ADDRESS. 1(,),_ Lt. A / 10 n f I< PERMIT USE: / a s , p • OWNER: "3---0 s k 2 Tc y 1.4, r PHONE (Daytime Contact):( S 0 q ) 2 1q 1 it 0.. MAILING ADDRESS: J I s, p., l< i o 1 - / /� z \/P / G1. I A. (e A 'Ic 6 J 7 (street) (city /state) (ZIP) CONTRACTOR: ' $15 LICENSE #: MAILING ADDRESS: - FUEL BURNING APPLIANCE PHONE #: X $19 (street) (city /state) (ZIP) METHOD OF PA ❑ CASH ,• C DATE: 12 - 10 - 0 EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE = OR < 100,000 X ' $15 - 2 FUEL BURNING APPLIANCE > 100,000 X $19 - 3 UNLISTED APPLIANCE (ADDITIONAL FEE) = OR < 400,000 X $50 = 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X $100 = 5 USED APPLIANCE (WSEC min. AFUE rating) = or <400,000 X . 950 = 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X 9100 - 7 BOILER/REFRIGERATION 1 - 100M BTU X $15 - 8 BOILER/REFRIGERATION 101 - 500M BTU X $28 - 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $39 = 10 BOILER/REFRIGERATION 1001 - 1,750M BTU X $57 = 11 BOILER/REFRIGERATION +1750M BTU X $95 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE - I X 910 - ( 0 13 RANGE - X 910 = 14 DRYER - X 910 = 15 FUEL BURNING WATER HEATER - X $10 16 MISC FUEL BURNING APPL. - X $10 = 17 GAS PIPING (ea. Outlet) - X S1 = a 18 DUCT SYSTEMS - X 910 = 19 VENTILATING FANS - X 910 = 20 AIR HANDLER (DOES NOT include ducting) = OR < 10,000CFM X 912 = 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM )( $19 = 22 EVAPORATIVE COOLERS - X 910 _ 23 TYPE I HOOD - X 950 - 24 TYPE II HOOD - X 910 - 25 HEAT PUMP /AIR CONDITIONER 0-3 TON X 912 - 26 AIR CONDITIONER 3.15 TON X $20 - 27 AIR CONDITIONER 15-30 TON X 925 = 28 AIR CONDITIONER 30-50 TON X $35 - 29 AIR CONDITIONER +50 TON X 960 - 30 LPG STORAGE TANK - X 910 - 31 WOOD OR PELLETSTOVE/INSERT - X 910 - 32 WOOD STOVE - FREE STANDING - X 925 - KENT VISA' i - SUBTOTAL: I D.,00 PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: 47. o c DATE: 12 - 10 - 0 EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE: [ETHOD OF ] CASH ATE: lrrp,� Spocrrt cxkane ,,, . Va11ey 11707 East Sprague Avenue, Suite 106 509 - 688 -0036 Phone Spokane Valley, WA 99206 509-688-0037 - Fax Plumbing Permit Application PROJECT ADDRESS: DESCRIPTION PERMIT USE: OWNER: X PHONE (Daytime Contact): MAILING ADDRESS: AMOUNT (street) (city /state) (Gll') CONTRACTOR: LICENSE #: MAILING ADDRESS: - PHONE #: 2 (street) (city /state) (ZIP) PLUMBING FIXTURES NNKCARD NUMBER UTHORIZED SIGNATURE: DESCRIPTION DETAILS # OF IIIVTTS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6 - 2 URINALS X $6 - 3 TUBS X $6 - 4 SHOWERS (PER TRAP) BATH, STALL, ON -SITE BUILT X $6 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP /CULINARY/MEAT X $6 - 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X $6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6_ 12 FOUNTAINS, DRINKING X $6 - 13 WATER PIPING/DRAIN -IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X $6 - 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND /OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 - 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6 - 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 • 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT • VISA • West 3 CHECK • • - .. - FXPTRFC• SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: NNKCARD NUMBER UTHORIZED SIGNATURE: