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2003, 10-02 Permit App: BLD-03-02658 Water Heater, PipingSpokane 40,0Valley Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 Phone Spokane Valley, WA 99206 509-688-0037 - Fax PROJECT S �� ADDRESS: ' � < < DESCRIPTION r �� J ` ` � .� � C PERMTE USE: , )/ / ., EQUALS � -0, . r� , � �,� OWNER: ^ ', (-, - 1/2 --- PHONE (Daytime Contact): $6 r . 2 ( ), : t -I MAILING ADDRESS: 2 URINALS X $6 (street) 3 TUBS (city/state) (ZIP) X $6 - CONTRACTOR: r -_ , ,, f i� ,,,i....,„...._ LICENSE #: X $6 MAILING ADDRESS: ? LAVSBASINS, BAR. FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT '�. - PHONE #: 1'1' l ' —' DISHWASHER X $6 (street) 7 (city/state) (ZIP) • $6 PLUMBING FIXTURES CHOD 0 :ASH E: KCARD NUMBER: HORIZED 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 1 X $6 - �::.,0 ' ) 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6 - 12 FOUNTAINS, DRINKING X $6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL 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 $6 - 17 SPRINKLER SYSTEM X $25 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT CHECK • 44"..75f,--- -.. _ SUBTOTAL: _. , PLUS PROCESSING FEE: - $35.00 ■■ TOTAL PERMIT FEE DUE: =i% , ..) E: KCARD NUMBER: HORIZED SIGNATURE: *lane Mechanical Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone 509-688-0037 - Fax Spokane Valley, WA 99206 PROJECT ADDRESS: DESCRIPTION OF WORK PERMIT USE: X OWNER EQUALS AMOUNT PHONE (Daytime Contact): FUEL BURNING APPLIANCE MAILING ADDRESS: X i (street) % it FUEL BURNING APPLIANCE CONTRACTOR: X SE - MAILING ADDRESS: ' ' UNLISTED APPLIANCE (ADDMONAL FEE) PHONE #: X 550 (street) (city/state) (ZIP) UNLISTED APPLIANCE (ADDITIONAL FEB) METHOD OF PA 0 CASH 0 CHECK 0 =w 0 DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK 8 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 (ADDMONAL FEE) = OR < 400,000 X 550 = 4 UNLISTED APPLIANCE (ADDITIONAL FEB) > 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 .. BOILER/REFRIGERATION 101 - 500M BTU X 528 .. 9 BOILER/REFRIGERATION 501 - 1,030M BTU X 539 .. 10 BOILER/REFRIGERATION 1001 - 1,750M BTU X . 557 - 11 BOILER/REFRIGERATION +1750M BTU X $95 - 12 GAS LOG, GAS INSERT, GAS FIREPLACE - X $10 = 13RANGE - X 510 = 14 DRYER - X 510 = 15 FUEL BURNING WATER HEATER - ( - X 510 - ) C.,) 16 MIS C FUEL BURNING APPL. - X 510 = 17 GAS PIPING (ea. Outlet)- X 51 - z 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) > 10,003 UM X 519 = 22 EVAPORATIVE COOLERS -. X 510 = 23 _ TYPE I HOOD- X 550 = 24 TYPE II HOOD - X 510 = 25 HEAT PUMP/AIR CONDMONER 0-3 TON X 512 = 26 AER CONDMONER 3-15 TON X 520 - 27 AIR CONDITIONER 15-30 TON X 525 = 28 AIR CONDMONER 30-50 TON X 535 .. 29 AIR CONDITIONER +50 TON X 560 = 30 LPG STORAGE TANK - X 510 - 31 WOOD OR PELLET STOVE/INSERT - X ' 510 - 32 WOOD STOVE - FREE STANDING - X 525 - MENT _. ...... • • Vait;iir - VfS SUBTOTAL: / / PLUS PROCESSING FEE: $35.00 .... TOTAL PERMIT FEE DUE: 0 CASH 0 CHECK 0 =w 0 DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: