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Unknown Date, Permit: BD-0300297 Sewer ReversalLETHOD 0 ] CASH StokaneN'°'°` .0,0Valley 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 8 0 03 -0291 PROJECT L.r� �/ �, ' ADDRESS: )( 1 /J rr /��/�lJ�/ ��/���LLL PERMIT USE: k , ` OWNER: # OF UNITS PHONE (Daytime Contact): MAILING ADDRESS: EQUALS (street) I (city/state)�1(ZIP) • CONTRACTOR(:/J 7 •y(1Aa / /'1/ / /(— /JC�(� tl/ LICENSE 7: MAILING ADDRESS: !PHONE i carRr y1UH1/4Nin #: I (street) (city/state) ( ) PLUMBING FIXTURES 'ATE: EXPIRES: ANKCARD NUMBER UTHORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6 - 2 URINALS X $6 - 3 TUBS X $6 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6 - 5 SINKS LAVSBASINS, 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 $6 - 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 S6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL TION ALTERATION, REPAIR, /X $6 - e5.17elfRSALS j /(�� (—� 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 - 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 - ' VISA' • .._. Malt--` - "., SUBTOTAL: f „ ,W PLUS PROCESSING FEE: $35.00 ■ TOTAL PERMIT FEE DUE: Li( Co(� 'ATE: EXPIRES: ANKCARD NUMBER UTHORIZED SIGNATURE: *lane'ms"°' ,ss Valley Mechanical 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 PROJECT ADDRESS: DESCRIPTION OF WORK PERMIT USE: OWNER X PHONE (Daytime Contact): MAILING ADDRESS: AMOUNT (street) (city/state) (ZIP) CONTRACTOR: LICENSE 4: MAILING ADDRESS: • PHONE #: 2 (street) (city/state) (ZIP) METHOD OF PA 0 CASH 0 C DATE: ri `� ,EXPIRES: Clf BANKCARD NUMBERG '1 :•- 1 -i'--4 AUTHORIZED SIGNATURE: DESCRIPTION OF WORK I 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 $22 • 9 BOILER/REFRIGERATION 501-1,000M BTU X 539 - 10 BOILER/REFRIGERATION 1001- 1,750M BTU X $57 • 11 BOILER/REFRIGERATION +1750M BTU X 595 - 12 GAS LOC, 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 51 18 DUCT SYSTEMS - X 510 - 19 VENTILATING FANS - X 510 - 20 AIR HANDLER (DOES NOT include ducting) • OR < 10,000CFM X 512 - 21 AIR HANDLER (DOES NOT Include ducting) > 10,000 CFM X 519 - 22 EVAPORATIVE COOLERS - X 510 - 23 1 TYt I HOOD - X 550 • 24 TYPE II HOOD - X 510 - 25 HEAT PUMP/AIRCONDITIONER 0-3 TON X 512 • 26 AIR CONDITIONER . 3-15 TON X 520 - 27 AIR CONDITIONER 15-30 TON X 525 - 22 AIR CONDITIONER 30-50 TON X 535 • 29 AIRCONORIONER +50 TON X 560 - 30 LPG STORAGE TANK - X 510 - 31 WOOD OR PELLET STOVE/INSERT - X $10 • 32 WOOD STOVE - FREESTANDING - X $25 - HEMI y� ur .--. _ .. SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: _ DATE: ri `� ,EXPIRES: Clf BANKCARD NUMBERG '1 :•- 1 -i'--4 AUTHORIZED SIGNATURE: