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2012, 06-19 Permit App: BLD-20012-0927 Mechanical, Plumbing FixturesSpokane -- 400.1/alley- 11 lvi n Jpraguc Itvc, aunt Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenter@spokanevallev.org Community Development Plumbing Permit Application rrauvu 1 1V ulvWDnrc: V lb/ — f ,G 7 ¶ ( PERMIT FEE: -7 ,-/ a ) ❑ Commercial ® Residential SITE ADDRESS: 4i ,J MO- Whe _ Building Owner Phone: c 60 6 Fax: Name: F- t`:C.. Z IA h Ever -I q,v Address: zip:erilit, 4, • ^ m City: S� ,eJl State: rk/ib, Contractor VY\gw.‘4 Q`4.-15 Name: ,F-V‘•5`.,W.\\ �t 0 Phone: li_3! ) 0-7 % Fax:— 09 IV Address: 1 o-ro E "'�► t �(r1't Lb. -City: l ti�V`L (r641-01 State: Gn2. Zip: 11 )43 b License No: �N 6. 04,‘1 s- City Busines9 Lic: (00 S- 6s- -) 33 Contact/Project Manager: Name: (; LL- �` 5v�--- Phone: GR`f—mss a 7 # OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS SHOWERS (per trap) SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL 1 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 WATER HEATER If Gas, See Mechanical INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Including traps, vents except kitchen type grease interceptors functioning as fixture traps REPAIR OR ALTERATION Water piping, drainage or vent piping ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers MEDICAL GAS INCEPTORS ❑CASH 0 CHECK 0 VISA ❑ MC EXPIRES: Card# VIN: SIGNATURE: CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule. http://www.spokanevaltey.org/uploads/Community Development/Documents/Forms/Building/PlumbingPermitApplication040309. doc Sfokane Walley• Community Development Mechanical Permit Application 11703 E Sprague Ave, Suite 13-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenter@spokanevalley.org PERMIT NUMBER: k(_�Z-- Z % PERMIT FEE: Commercial n Residential SITE ADDRESS: Building Owner 1_ 1"\ c 3 (E �� a-. I f F CYC Name: Phone: Fax: Address: ,A , f • ^ A /�a City: S i �1/ uo.(\et St t : j Zi t 6 Contractor ��5k'Nts vr,S Name: Phone: Fax: Address: t Da NO 6 v� (.-4",.. City: <0 _7 y \\ _ uk Stat Zip: q ? / 1 Sz City BusinLlfs Lic: ! O O S�, b S -133 to License No: etsit) c. 3 v/ Aimej Contact/Project Manager: Name: Q.6, Y.:\,,`C Phone: CM ` #UNITS FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION Up to & including 100,000 BTU 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 REPAIRS OR ADDITIONS BOILER, COMPRESSORS, ABSORPTIONS SYSTEM 0 to 3 hp -100,000 BTU or less BOILER, COMPRESSORS, ABSORPTIONS SYSTEM BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 3 - 15 hp —100,001 to 500,000 BTU Over 15 — 30 hp - 500,001 to 1,000,000 BTU BOILER, COMPRESSORS, ABSORPTIONS SYSTEM BOILER, COMPRESSORS, ABSORPTIONS SYSTEM Over 30 hp — 1,000,001 to 1,750,000 BTU AIR HANDLER (DOES NOT include ducting) AIR HANDLER (DOES NOT include ducting) Over 50 hp — over 1,750,000 BTU Each unit up to 10,000 cfm, including ducts Each unit over 10,000 cfm EVAPORATIVE COOLERS(other than portables) VENTILATION AND EXHAUST VENTILATION AND EXHAUST Each fan connected to a singe duct VENTILATION AND EXHAUST INCINERATORS Each ventilation system Each hood served by mechanical exhaust Installation or relocation of residential INCINERATORS Installation or relocation of commercial APPLIANCES UNLISTED APPLIANCES Range, Clothes Washer Under 400,000 BTU UNLISTED APPLIANCES Over 400,000 BTU HOOD HOOD L P STORAGE TANK Type I Type II WOOD OR PELLET STOVE INSERT WOOD STOVE SYSTEM — FREE STANDING ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #: EXPIRES: SIGNATURE VIN: http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc