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2003, 05-13 Permit: BD03-408 Mechanical FixturesMAY -13 -2003 TUE 08:23 AM SPOKANE FIREPLACE PATIO ts City of lb SPOKANE VALLEY 9 326 2842 Co truly ✓o¢J.,14dd ,N Contractor's ante a7 Co itracta 's address 5I (L 73 PPz Code Contractor Phone !harsher 2f2PAe. tont ion n.J Fare Count /Schedule of War* Mechanical Dash fen Number Purdue (up to 100,000 btu ) - Oen,not Water Heater Cook Tap & other appliances *vt mm Clothes dryer Conversion burner ▪ GMs 10Vs, gas fireplace Insert _ Wood stove astern Appliance vent repair- relocation Laundry Washer / pink A/C unit ((up to 3 tons ) Unit Heater (up to 100,00Q btu ) Fireplace Insert (wood- pellets) EvaperetNe, coolers Commercial Bond! Exhaust vents Ducts system Gas Piping ( outlets) (S 1, ttr every outlet after 4) Total P, 01 PLUMBING /MECHAMC E J V ED PERMIT APPLICATION & PERMIT # �l� 1�.3- ttoz ApplIc a In rola oo City of Spokane Valley Owner Nam n , it �5 d""' e VQl(4 " 50 PV- 6,PCoda Owner phone number Tax Parcel Number (Assessors Number) Contractor's registration card (or copy) rarest be presented at time t;fsrrhrninax $35, SIS. ea $10, CZ 510. ea $10. a, $10, 910. to 925. $ 7.$0 en $IQ.tai S12. 912- ca $10. ea $12. ca $12 -e4 $ a.ea $12. S 3. np to 4 outlets Plumbing Number Basic fee S33. Toilets ITrinals $ 6. es Tub dl: kneed 5 6. ea Shover heads $ 5. ea Bathroom dale $ 6. en Bitches in S 6. ea Dl *hpppherl $ d. ca lint waterteak $10, en Lawn epriokti.ng system S2S. Private sewage system $20, Vacuum type breaker ($) $223 Plinking fountains 56.,E Floor Drains $ 6. ea $ump $ 6. ea Aackflow preventor $ 6. ea pipe - drainage repair $ 6. r>G Rau Bib $ 6, OR Total 35" f _ - Pee Coat $ Pee dept 4 Tom S CfJ a r Q T„ f hereby kathoriae the City of R ^ ^L -- " Vita ,Mastercard No, , Print name ofhoider • - -. - e..tnrHf nnrmlrmmveradlt cord : $1 ntitare Slgnsl1ure of applicant — _,...,,.,.o.=1e..=111. HOMEOWNER INSTALLER ONLY Thereby certify that I am the owner of the proper y described [nth apl lioatlon, l understand that the! wort; IS Ik6Jact to Inspection and approve: by the Ci a/s +okane Valley, and that 1 may nor snare any nrkoprrrorr, lucludlnar a flowed contractor, ro do ally work under thlspanah, Date S atom . %nwncr Date FOR OFFICE USE ONLY Dote received Supplomcatni to Permit Nuibbtrt Permit Number Issu ed By; 6- vme -pl Clyde once Plumbing Date Fermi• confidential credit card information 42.5ard 5 This document contains pursuant to RCW redacted p findings pertaining to any and has been of our Valley petition for a review Spokane redacted ed may p documents pursuant to ken review withheld 2.75.080; and obtain judicial l °Code (SVMC� Municipal pursuant to RCW 42.56.550. Mechanical