2012, 11-07 Permit App: BLD-2012-2020 Plumbing & Mechanical FixturesPermit Center
11703 E Sprague Ave, Suite B-3
Spokane Spokane Valley, WA 99206
If val (609)688 -0036 FAX: (509)688 -0037
Community Development permrtcentert okanevalley,org
Mechanical Permit Application I
SITE ADDRESS: 1 Z4 N • i!,Y d L.01.1
(1 Commercial
ipao
PERMIT NUMBER:
PERMIT FEE:
esidential
Buildi.g Owner
Name: Phone:, ) / Fax: fr
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Address: ✓ i r City. �. State: A Zip:,',
Contractor.;
Name: 11, � Phone: Fax:
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Address o �• I nn! _._.:: City: ?llti`i0s State:
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! a " Zipgg2Q
License No. City Business Lic: .
Contaet/Project:MUager
Name: 2)471/ /� Gov/y /C Phone: <_ � W. -- % /
#UNITS
..
FURNACES & SUSPENDED HEATERS - INSTALLATION OR RELOCATION
Up to & inducing 100,000 BTU
,
FURNACES & SUSPENDED HEATERS - INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
/
HEAT PUMP /AIR CONDITIONER
0-3 TON
AIR CONDITIONER
, Over 3-15 TON
AIR CONDITIONER
Over 15-30 TON
AIR CONDITIONER
Over 30-50 TON
AIR CONDITIONER
Over 50 TON
GAS WATER HEATER
GAS PIPING SYSTEM (each outlet)
GAS LOG, FIREPLACE, & GAS INSERT
_
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
1
REPAIRS OR ADDITIONS
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 hp- 100,000 BTU or less
BOILER, COMPRESSORS,_ ABSORPTIONS SYSTEM
Over 3 - 15 hp — 100,001 to 500,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 — 30 hp - 500,001 to 1,000,000 BTU
BOILER, COMPRESSORS. ABSORPTIONS SYSTEM
Over 30 hp — 1,000,001 to 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 50 hp — over 1,750,000 BTU
AIR HANDLER (DOES NOT indude ducting)
Each unit up to 10,000 dm, including duds
AIR HANDLER (DOES NOT include duding)
Each unit over 10,000 dm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe dud
VENTILATION AND EXHAUST
Each ventiation system
^VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or relocation of commercial
^APPLIANCES
Range, Clothes Washer
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type 1
HOOD
Type II
It
L P STORAGE TANK
r'
1 f'
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
OCASH O CHECK O VISA O MC
CARD #:
EXPIRES:
SIGNATURE
VIN:
NOV 0 7 2012
CSV PERMIT CENTER
P: \Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Me .hanical Permit Application 04-03-09 dg.doc
REV. #
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688-0037
permitcenter®spokanevallev.orst
Community Development
Plumbing Permit � Application 4(r
SITE ADDRESS: i i4. D it\Lal i
Pro
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PFrFNED
PERMIT NUMBER:
PERMIT FEE:
LZ)V i isi1.
❑ Commercial Residential
Baildiag O vaer
Name: 14. L
�ILLvi• ls Liz, phone: - %/"7/�0, Fax:
Address: Z t o ++ U J 4 'rr-i W c c'tY . Nd. State :
O Zip: iri g`pitc.7
Contrattor;.
Name:L r- L T 0Mt, [Le..... Phone: Fax
Address: -z io h. l ggrr,� 10a0 Cy/ � Zip: Ai Cr
\%w 4� State: Y�
License No' , �`� j„ City Business Lic:
ContacllProjnet Mail er . , ..:
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Name: ��i fit ,f 2'A'1 Phone:.. / / •- Jr: ..
* OF UNITS
PLUMBING FIXTURE ON A TRAP -
(.L'
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case,_Coil, Trench, Condensate
/
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PtPING/DRAIN -IN WASTE
Installation, Alterations, Repair, Reversals
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamerproofer, carbonator, swamp cooler
3
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water piping, drainage or vent piling_
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
DCASH 0 CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
P: \Community Development\02 AdministrationU)3 Forms - Official Versions\Pennit Center\Plumbing Permit Application 04 -03-09 dg.doc