2013, 04-24 Permit App: BLD-2013-0679 Plumbing & Mechanical Fixtures.��Va1ley'
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
perm itcenter @spokaneval lev.ore
Community Development
Plumbing Permit Application
409- to/; -06 7,7
PERMIT NUMBER:
PERMIT FEE:
/ Commercial Residential
SITE ADDRESS: D A, Al /� LL//V 5PDa L AtLL/ , W 992/
Building Owner
Card#
SIGNATURE:
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VIN:
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License No:
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Contact/Project
Manager: Name: j4-A
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PLUMBING FIXTURE ON A TRAP
# OF UNITS
TOILETS
URINALS
cA
TUBS
SHOWERS (per trap)
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SINKS
Lav /Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -ray, Food,
Prep /Culinary Meat
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DISHWASHER
�E
/
CLOTHES WASHER
F
/
GARBAGE DISPOSAL
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
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WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT
If Gas, See Mechanical
INCEPTORS
Including traps, vents except kitchen type ype grease interceptors functioning as fixture
REPAIR OR ALTERATION
traps
Water P9.
i P in drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
f1CASH fl rucry n %,.o�
Card#
SIGNATURE:
O MC
C/�Y IKt.J:
VIN:
P: \Community Development \02 Administration \03 Forms - Official Versions \Permit Center \Plumbing Permit Application 04 -03 -09 dg.doc
Spokane
.0.0Milley
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley. WA 99206
(509)688 -0036 FAX: (509)688 -0037
permitcenter @spokanevalley.org
SITE ADDRESS:
A, 4- 1/4t6AJ S
Commercial
/L�- zf7 a �o f
PERMIT NUMBER:
PERMIT FEE:
►'1
Residential
VISA El MC
CARD #:
SIGNATURE
VIN:
P: \Community Development 102 Administration \03 Forms - Official Versions \Permit Center \Mechanical Permit Application 04 -03 -09 dg.doc
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Name:
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Name:
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Phone: �}gL�y7�
Address:
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Zip: //j,5'
No: LA L NOI-f Ley Lr i L 2� f City Business Lie:
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Contact/Project
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Manager:
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Name: 1
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#UNITS
FURNACES & SUSPENDED HEATERS - INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
f
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 include ducting)
Each unit up to 10,000 cfm, including ducts
AIR HANDLER (DOES NOT include ducting)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
VENTILATION AND EXHAUST
Each ventilation system
Each hood served by mechanical exhaust
VENTILATION AND EXHAUST
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or relocation of commercial
APPLIANCES
Range, Clothes Washer
Under 400,000 BTU
Over 400,000 BTU
UNLISTED APPLIANCES
UNLISTED APPLIANCES
HOOD
Type I
HOOD
Type II
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM - FREE STANDING
VISA El MC
CARD #:
SIGNATURE
VIN:
P: \Community Development 102 Administration \03 Forms - Official Versions \Permit Center \Mechanical Permit Application 04 -03 -09 dg.doc