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2004, 02-12 Permit App: BLD-04-03547 Water PipingS`�okane . Walley Mechanical Permit Application 11707 East Sprag:e Avenue, Suite 106 509-688-0036 Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 PROJECT ler 7 n) OF -55 l r5:- 14V7 r ADDRESS: J".9,23/ �Qi-LFj u�� `C ] ? 2/Z PERMTTt I. - <-1c.i 1 Ai d1 t - .C? - ) 7-4' USE: 4-,t, -71/14-7`.. G�i3C5.7-1> 34 JFie. E_ OWNER: " A4 /Aid j rS ( COST PHONE (Daytime Contact): AMOUNT MAILING ADDRESS: i 4r7.a 55 ,_ 5 ,- Jr: 0 IF ed 2/2 — (street) ` (city/state) (ZIT) CONTRACTOR: F FUEL BURNING APPLIANCE > 100,000 LICENSE 1: X MAILING ADDRESS: - Pfj�N„ E A; .3 7s� UNLISTED APPLIANCE (ADDITIONAL FEE) • OR <400,000 (street) (city/state) (ZIP) METHOD OF PA 0 CASH ❑ CHECK DATE: EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE: DESCRIPTION OF WORK # OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE • OR < 100,000 X 515 - 2 FUEL BURNING APPLIANCE > 100,000 X 519 - 3 UNLISTED APPLIANCE (ADDITIONAL FEE) • OR <400,000 X 550 - 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X 5100 • 5 USED APPLIANCE (WSEC min AFUE rating) - or <400,000 X 550 • 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X 5100 - 7 BOILER/REFRIGERATION 1 -100M BTU X 515 • 8 BOILER/REFRIGERATION 101- 500M BTU X $2.8 • 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $39 - 10 BOILER/REFRIGERATION 1001 - 1,750M BTU X 557 - 11 BOILER/REFRIGERATION #1750M BTU X 595 • 12 GAS LOG, GAS INSERT, GAS FIREPLACE - X 510 - 13 RANGE - X 510 - 14 DRYER - X 510 • 15 FUEL BURNING WATER HEATER -- X 510 • 16 MISC. FUEL BURNING APPL. - X 510 • 17 GAS PIPING (ea Outlet) - X Si - 18 DUCT SYSTEMS - X 510 - 19 VENTILATING FANS -- X 510 • 20 AIR HANDLER (DOES NOT include ducting) • OR < 10,000CFM X 512 • 2I AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X 519 • 22 EVAPORATIVE COOLERS - X 510 • - 23 TYPE I HOOD - X $50 - 24 TYPE II HOOD - X 513 • 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X 512 • 26 AIRCOND[TIONER 3-15 TON X 520 • 27 AIR CONDITIONER 15-30 TON X 525 • 28 AIR CONDITIONER 30-50 TON X 535 • 29 AIR CONDITIONER +SO TON X 560 • 30 LPG STORAGE TANK - X 510 • 3I WOOD OR PELLETSTOVE/INSERT - X 510 • 32 WOOD STOVE - FREE STANDING - X 525 • MENTPLUS I_ _ =MI VISA' . SUBTOTAL: PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: ❑ CHECK DATE: EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE: METHOD OF ❑ CASH DATE: *lane Valley Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 35`1 PROJECT ADDRESS: DESCRIPTION PERMIT USE: OWNER: X PHONE (Daytime Contact): MAILING ADDRESS: AMOUNT (street) (city/state) (ZIP) CONTRACTOR LICENSE 1/: MAILING ADDRESS: - PHONE #: 2 (street) (city/state) (ZIP) PLUMBING FIXTURES BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6 - 2 URINALS X 16 - 3 TUBS X $6 - 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6 - 5 SINKS LAVS/BASINS, BAR, FLOOR KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT X $6 - 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X 16 - 9 WATER SOFTENER X $6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6 - 12 FOUNTAINS, DRINKING X $6 - 13 WATER PIPING/DRAIN-1N WASTE, VENT, PLUMBING REVERSALair INSTALLATION, ALTERATION, REPAIR, REVERSALS X $6 - 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER HOSE BIB, STEAMER, PROOFER CARBONATOR, SWAMP COOLER X $6 - 16 CROSS CONNECTION DEVICE VACUUM BREAKER CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X 86 - 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6• PAYMENT ❑ CHECK SWIM Maiiiiit "J SUBTOTAL: PLUS PROCESSING FEE: $35.00 ■ TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: