2013, 04-01 Permit App: BLD-2013-0553 Plumbing & Mechanical FixturesPermit Center \.�
*lane ne 11703 E Sprague Ave, Suite B -3
�Y ` Spokane Valley, WA 99206
1r (509)688 -0036 FAX: (5091688 -0037
permrtcenter@a spokanevallgy.orl;
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Project #� —13-5—
Community Development
Plumbing Permit Application
SITE ADDRESS: � j Dt„ /
Building Owner
RECEIVED
APR 0 1 2013
PERMIT NUMBER:
PER-114IIT FEE:
CSV PERMIT CENTER ❑ Commercial esidential
plUB # p 1„r
❑CASH ❑ CHECK ❑ VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
P: \Community Development102 Administration \03 Forms - Official Versions\Permit CenteriPlumbing Permit Application 04 -03 -09 dg.doc
Name:
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Address
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Name:
1.0.4.41...
Address:
Phone
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Contact/Projett AM'u.gee:
Cityi3usmess Lic_ rV F {
Name:
f77 CPA-411645 Phone: 64:1! 11 7,e�
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PLUMBING FIXTURE ON A TRAP
# OF UNITS
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
1
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
/
ROOF DRAIN /OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN -IN WASTE
Installation, Alterations, Repair, Reversals
WATER USING DEVICE
Ice and /or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT
N Gas, See Mechanical
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water i
pip ng, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH ❑ CHECK ❑ VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
P: \Community Development102 Administration \03 Forms - Official Versions\Permit CenteriPlumbing Permit Application 04 -03 -09 dg.doc
1I I ley C community Development
Permit Center
11703 E Spokane Valley, Sprague Ave, Suite B-3
()68&-0036 S 9 AWA 99206
ermiteente X (509e88-0037
eedanical Per s okanevalle or
Permit Application
Proje
"RECEIVED
Residential
FURNACES & SUSPENDED HEATERS - INSTALLATION OR RELOCATION
FURNACES & SUSPENDED HEATERS - INSTALLATION OR RELOCATION
DUCT WORK SYSTEM
HEAT PUMP /AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
AIR CONDITIONER
U. to & indudin. 100,000 BTU
Over 100,000 BTU
itlAIR CONDITIONER
GAS LOG, FIREPLACE & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT I
REPAIRS OR ADDITIONS
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
BOILER, COMPRESSORS ABSORPTIONS SYSTEM
BOILER COMPRESSORS, ABSORPTIONS SYSTEM
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
BOILER, COMPRESSORS ABSORPTIONS SYSTEM
AIR HANDLER DOES NOT include ductin
AIR HANDLER DOES NOT include ductin.
EVAPORATIVE COOLERS other than .. ,; hies
VENTILATION AND EXHAUST
VENTILATION AND EXHAUST
VENTILATION AND EXHAUST
INCINERATORS
INCINERATORS
APPLIANCES
1NLISTED APPLIANCES
INLISTED APPLIANCES
DOD
)OD
STORAGE TANK
OD OR PELLET STOVE INSERT
)D STOVE SYSTEM — FREE STANDING
3H ❑ CHECK ❑ VISA ❑ MC
ik:
Over 3-15 TON
Over 15-30 TON
Over 30-50 TON
Over 50 TON
0 to 3 h• 100,000 BTU or less
Over 3 - 15 h. — 100001 to 500,000 BTU
Over 15 — 30 h. - 500 001 to 1,000,000 BTU
Over 30 h. — 1,000,001 to 1,750,000 BTU
Over 50 h. — over 1 750 000 BTU
Each unit u. to 10,000 dm indudin. ducts
Each unit over 10 000 ctm
Each fan connected to a sin a duct
Each ventilation s tem
Each hood served b mechanical exhaust
Installation or relocation of residential
Installation or relocation of commercial
Ra . e, Clothes Washer
Under 400,000 BTU
EXPIRES:
SIGNATURE
VIN:
nunity Development \02 Administration \03 Forms - Official Versions\Permit Center\tv(echanical Permit Application 04 -03-09 dg.doc