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2009, 01-21 Permit App: 09000130 Plumbing, Mechanical FixturesSpO�R®ems .000Valley. 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 permnccntcr(spokanevalley.org n Commercial PERMIT NUMBER: O9 -f)\3 PERMIT FEE: 1-251 esidential 0 SITE ADDRESS: 3125 Ni Caunp._ Building owner l K'I7.p___ IS I. - - - Fax 7�� -579 Name Phone: ei9n�s� Address: Seu_- _ E- - Ci ty 5_ 00�a�r State: pk __ Zip: �zz -_ � e-'- ....99,4 Contractor ---.°`e Name: Phone: Fax: Address' City- State: Zip: License No :;f L' 7� A ` nC1uC�—i...rA �1, ©,r� L 1%% Z ✓C� City Business Lic: Contact �1 IJV' ' 2*V Name. Phone: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 1 X $12.00 12) 0 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X $50 00 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 x $100.00 5 USED APPLIANCE (WSEC min AFUE rating) Equal to or less than 400,000 X $50 00 6 USED APPLIANCE (WSEC min AFUE rating) More than 400,000 X $100.00 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 8 BOILER/REFRIGERATION 101 -500M BTU X $20 00 9 BOI LER/RE FR IGERATION 501 - 1,000M BTU X $25.00 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 13 RANGE X $10 00 14 DRYER X $10 00 15 FUEL BURNING WATER HEATER X $10 00 16 17 18 19 MISC. FUEL BURNING APPLIANCE GAS PIPING (each outlet) DUCT SYSTEMS VENTILATING FANS 1 1 X X X X $10 00 $1 00 $10.00 $10.00 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X $12 00 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $15 00 22 EVAPORATIVE COOLERS X $10 00 23 TYPE I HOOD X $50.00 24 TYPE II HOOD X $10.00 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 26 AIR CONDITIONER 4-15 TON X $20.00 27 AIR CONDITIONER 15-30 TON X $25.00 28 AIR CONDITIONER 30-50 TON X $35.00 29 AIR CONDITIONER More than 50 TON X $60 00 30 LPG STORAGE TANK X $10 00 31 WOOD OR PELLET STOVE/INSERT X $10.00 32 WOOD STOVE - FREE STANDING X $25 00 33 REPAIR & ADDITIONS X $15.00 34 VENTILATION SYSTEMS X $12.00 35 VENTILATION MECHANICAL EXHAUST X $12.00 36 INCINERATOR - RESIDENCE X $19.00 (yGAt 37 INCINERATOR - COMMERCIAL METHOD OF PAYMENT: ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD# AUTHORIZED SIGNA'T'URE: REVISED 8/26/05 EXPIRES VIN X SUBTOTAL $22.00 PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: 70/ Permit Center *Mane 11703 E Sprague Ave, Suite B-3 �leY Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development permitcenterQspokanevallcy ore Plumbing Permit Application ❑ Commercial PERMIT NUMBER: PERMIT FEE: n Residential SITE ADDRESS: Building Owner A.cd��+ 2_ (DLt Name: )q, Phone: i/ y �/'3�� //1„ie��t_ Fax: /// Address: ,J7 i/ 5 455'6,�(i j� City: SL fir/ State: i, til !/�/>•+ Zip: gi9z,2 / _! _// -Contractor c 5g2 F / Name: Phone: Fax: Address City: State: Zip. License No City Business Lic: Contact - - - - - _ -- ---- Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 1 X $6 00 toto 2 URINALS X $6.00 3 TUBS X $6 00 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6 00 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT v X $6 00 6 DISHWASHER 1 X $6 00 7 CLOTHES WASHER 1 X $6 00 8 GARBAGE DISPOSAL x $6 00 9 WATER SOFTENER X $6 00 10 ELECTRIC WATER HEATER NOTE IF GAS, SEE MECHANICAL X $6 00 op0 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 13 FOUNTAINS, DRINKING X $6.00 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X $6 00 b°° 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 00 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER X $6 00 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR. VATS, TANKS, BOILERS X $6 00 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 00 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6.00 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 21 PRIVATE SEWAGE DISPOSAUSYS X $20 00 22 INDUSTRIAL WASTE INTERCEPTOR METHOD OF PAYMENT: DCASH D CHECK D VISA D MC EXPIRES' Card# VIN. AUTHORIZED SIGNATURE REVISED 8/26/05 X $15 00 SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: v7!