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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; i 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: I. V Phone: .0' Fax. ,• a (% Address . JIM� .1 iN �i Ctty i State: - Zip i. Coutracfor; ._.t... _ �] • Name: 1.0.4.41... Address: Phone 41 L Lf� �/LL�� /LI Fax: n �j 1 1 �,1 v 14 . d� LicenseRo: �c�/ j. ` [/ 4 1 ''W�' City, �/ ��A1141,- State: ' I Zip :4H g� �� L..1.464.4 L. Contact/Projett AM'u.gee: Cityi3usmess Lic_ rV F { Name: f77 CPA-411645 Phone: 64:1! 11 7,e� �j 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