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2007, 10-18 Permit App: 07004057 Residence
Project Number: 07004057 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/18/2007 Page 1 of 4 Project Information: Permit Use: NEW SFR - ATTACHED GARAGE - ON SEWER Contact: HARRIS, DAVID & LORETTA Address: 4228 N OAK C - S - Z: SPOKANE, WA 99205 Setbacks: Front Left: Right: Rear: Phone: (509) 879-9113 Group Name: Site Information: Project Name: Plat Key: Name: CAROLINE ADD District: Sout Parcel Number: 35231.1477 Block: Lot: SiteAddress: 605 S MCKINNON ST Location:: CSV Zoning: UR -3.5 Urban Residential 3.5 Water District: 003 CARNHOPE Area: 14,580 `Scj Ft = Width: 0 Depth: 0 Right Of Way (ft): 0 ' Nbr of Bldgs: 0 • "Nbr of Dwellings: 0 Review Information: Owner: Name: ALLEN, MICHAEL J Address: 1613 E ROSS CT SPOKANE, WA 99207 Hold: ❑ Review Building Plan Review Released 13y: - ... _ .::•_� - st,;_:::.. - . Other Reviews Onginally Released: 10/11/2007 By: tmelbourn Released By , Driveway/Approach • Originally Released: 10/17/2007 By: jdavis Released By: SEE CONDITIONS Originally Released: 10/12/2007 By: jdavis Operator: JD Printed By: jmm Print Date: 10/18/2007 Project Number: 07004057 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/18/2007 Page 2 of 4 Potable Water Review ,Released By: PER TERRY SQUIB @ CARNHOPE Originally Released: Landuse/Zoning/HE Conditions 10/12/2007 13y: jdavis Released By:, • Originally Released: Sewer Review 10/11/2007 By: mpalaniuk Released By: Permits: e.. Ongmally Released: ,10/17/2007 By: • jdavis Contractor: OWNER Item Description APPROACH -CONST IN ROW Contractor: OWNER Description Type 1&2 FAMILY R-3 VB COV DECK R-3 VB GARAGE U -I VB Item Description RESIDENTIAL PERMIT FEE WSBC SURCHARGE SF PLNS RVW < 7999 SQ FT Operator: JD Units 1 Notes 1ST FLOOR Approach Firm: OWNER Phone: (000)000=0000 Unit Desc NUMBER OF Permit Total Fees: Building Permit ATTACHED GARAGE Totals: Fee Amount $50.00 $50.00 Firm: OWNER Phone: (000) 000-0000 This Application: Total Project: Sq Ft Valuation Sq Ft Valuation 1,776 $162,255.36 1,776 $162,255.36 88 $1,320.00 88 $1,320.00 413 $7,847.00 413 $7,847.00 2,277 $171,422.36 2,277 $171,422.36 Units Unit Desc I SELECT 1 SELECT I SELECT Printed By: jmm Permit Total Fees: Fee Amount $1,396.95 $4.50 $558.78 $1,960.23 Print Date: 10/18/2007 Project Number: 07004057 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/18/2007 Page 3 of 4 Contractor: OWNER Item Description DUCT SYSTEMS GAS APPLIANCE<=100,000BTU GAS PIPING HEAT PUMP OR A/C 0-3 TONS VENTILATING FANS CLOTHES DRYER RANGE VENTILATION SYSTEM • Contractor: OWNER Item Descnption TOILETS/BIDETS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER WATER HEATER - ELECTRIC Mechanical Permit Firm: OWNER Phone: (000) Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 # OF UNITS 1 NUMBER OF 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Plumbing Permit 000-0000 Fee Amount $10.00 $12.00 $1.00 $12.00 $30.00 $10.00 $10.00 $12.00 $97.00 Firm: OWNER �.Phorie: (000) 000-0000 Units Unit Desc 2 , NUMBER OF 5 NUMBER OE 1 NUMBER OF 2 NUMBER OF 1 NUMBER OF . 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Operator: JD Printed By: jmm Permit Total Fees: Print Date: Fee Amount $12.00 $30.00 $6.00:.. , $12.00 $6.00 $6.00 $6.00 $6.00 $84.00 10/18/2007 Project Number: 07004057 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/18/2007 Page 4 of 4 Notes: DRIVEWAYS SHALL BE CONSTRUCTED TO DEFINE THE ACCESS AND EGRESS OPENINGS IN ACCORDANCE WITH THE SPOKANE COUNTY STANDARDS FOR ROAD & SEWER CONSTRUCTION AND STANDARD PLAN SHEETS ENTITLED "CEMENT CONCRETE APPROACHES" AND " RURAL ROAD APPROACHES". NO DRIVEWAY APPROACH SHALL BE LOCATED CLOSER THAN SEVEN AND ONE-HALF FEET FROM AN INTERIOR LOT OR PROPERTY LINE. Payment Summary: _...... Permit Type Fee Amount Invoice Amount Approach $50.00 $50.00 Building Permit $1,960.23 $1,960.23 Mechanical Permit $97.00 $97.00 Plumbing Permit $84.00 $84.00 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,960.23 $97.00 $84.00 $2,191.23 $2,191.23 50.00 • $2,191.23 • Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and•finds the information, • contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will -be complied with, Subsequent issuance of a permit shall not be construed 'to be a permit for, or an approval of, any violation:of any of• i .,. -the provisions of the code or of any other state or local laws or ordinances.-• ;Signature: Operator: JD Printed By: jmm Print Date: 10/18/2007 Permit Center Scm or 11703 E Sprague Ave, Suite B-3 pokane Spokane Valley, WA 99206 • Valley (509)688-0(�v6tw037 www.S NE VALLEY Community Development Residential Construction OCT 10 2007 New Construction Accessory Bldg Permit ApplicationBY. PEER nAddition/Remodel n Deck P1 Other. PERMIT NUMBER: 07-- vl rill PERMIT FEE: SITE ADDRESS: 62 D 5 \ 37 niel Xl n n bv) v e_e.L ASSESSORS PARCEL NO: 6505 /. /42'7 LEGAL DESCRIPTION: (0Q6 ' ns\tQ/r Ile\ non ;Building -Owner: ,' t _ �•, a,. r.. .�... ', .. ,.":n: «`:n '.:: .e , �'. 'lrM1r"�. Contractor: `_r' -''s; ,- ;y_-' r. _ .. .. Nam . 1-52vl i g Ce_tJ t cir ± 1 r)1^F.�(a Name,...111106 4 Lor e»a [Act -try --n Address:, I a s too rfir, lc Address: cfaap, Dori' jL IMPERVIOUS SURFACE AREA: Cit c 'ICBM r e Stateq Zi� 9a cis Ir City p0an, State Zi)�(,^� Phcsne6,-t9'%5-4013 Fax 9-q2i-/Q30 '' // P1 t»-8�9q//a7 FaZ; - i/ 74—ir)_30 30% SLOPES ON PROPERTY: P/4 Contractor Lic No: Exp Date: COntaCt Pei§On,. '+'! l.a ' fr.;"='?`-: HEAT_SOQURRCE: City Business Lic. No: \ry Name:pC't.U1cl -LOY C-- CLr{-l•S Phone: „Sn(3-c;)7q-Cf //. Dsnscrib.e e scope of work in det Cost of Project: Y� C, Yvl to 99,boo.OD" Proposed Use: 5) n try; t I )-‘c)141 **************The followine MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: l'7' 6 ' DIMENSIONS: pox 6y' # OF STORIES:TOTAL / HABITABLE SPACE: 7 7(0 MAIN FLOOR TO SQ. FTG: /1 7 to OK– 2Nu FLOOR SQ. FTG: k3/) UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE AREA: FINISHED BASEMENT SQ. FTG: &/4 GARAGE SQ. FT,G: - eCS Ail; DECK/ OV PATIO . FTG: f 30% SLOPES ON PROPERTY: P/4 # OF BEDROOMS: Lj CONSTRUCTION TYPE: HEAT_SOQURRCE: SE`SWERLRO'RSE TIC? The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. SIGNATU Method of Payment: ❑ Cash Bankcard #: Authorized Signature: REVISED 2115/07 ❑ Check ❑ Mastercard Expires: 9,r ATE;sj lo- ❑ VISA VIN#: /a- °7 �pol ane Valley® 11703 E Sprague Ave Suite B-3 • Spokane Valley WA 99206 509.688.0036 •.Fax: 509.688.0037 ♦ cityhall@spokanevalley.org Residential Plan Submittal Minimums i4 Completed Building & Mechanical application with: Accurate address, Parcel Number and/or Legal Description, description of work, owner and contractor information, signature, and date. 71( Two sets of plans including Site Plan, elevations, floor plans, foundation plans With details, roof.plan, framing plans & details. att Show the height of any proposed buildings or accessory structures. .)11 Floor plan for each floor: Dimension to scale (minimum 1/8") and label each Room (including sq. footage of house and garage on plans) Show each . level of existing house and square footage of any additions. All braced wall panel types: show locations and details of installation, including ,engineered design. , O Egress windows: Provide at least one window or exterior door approved for Emergency escape or rescue from a basement and in every room for sleeping. ❑ Smoke detector locations IQ 22" X 30" attic access location O 18" X 24" crawl space access: One-hour separation detail: between house and garage Floor framing details: Joist type, size, spacing and installation.details Ne Roof framing plan and details - Furnace and hot water heater location. All header locations: type, size, and connections Foundatioriplan Insulation information- Spokane' 0Ua11ey• 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 www sookanevallcv ore PERMIT NUMBER: PERMIT FEE: ❑ Commercial 4KrResidential SITE ADDRESS: (o©S Sa-L.th fir/ Kinn on r -pe* Building Owner - Name: �L�id + Lor�lo.. �-lcAu,^'is Phone �fY1'-879-9//z Fax: �9- '�2 f- /a3o Address:).) f1 Oat yy ASU \_/�-4/� Cit : - I� Yc 1CC➢�()E State( c� Zi l P/4 p 02,)♦J laR Contractor - Name.) l0 ci 4.PLor��0. �Iarr•IS Phone -D9- U�g- ! ll3 Fax:509-4/7h/-/a3 0 Addressl/lard 8 A o y/ ce Je , Vt�r' T r1 \` .C -t Cit1.��,� 1r,.,- . - ,e /Lice-�/'I State(, , Zip.t 9aQ ' / .� License No: City Business Contac) Name. Phone: DESCRIPTION OF WORK # OF UNITS X COST TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X - $12.00 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 8100 00 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 9 BOILER/REFRIGERATION 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 MISC. FUEL BURNING APPLIANCE X $10 00 17 GAS PIPING (each outlet) x $1.00 18 DUCT SYSTEMS 1 X $10.00 19 VENTILATING FANS aZ_ X $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 1 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 37 INCINERATOR — COMMERCIAL X $22.00 METHOD OF PAYMENT: OCASH CARD#. AUTHORIZED SIGNATURE: REVISED 8rzW05 ❑ CHECK ❑ VISA ❑ MC EXPIRES. VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: • • Spokane Valley. •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 www. spokaneval Iey.org 11 Commercial r'S�r^ :L-CE:VED C. P SPOKANE VALLEY OCPEIT-LIMBER: P4 FiNkm t2 f fY, est ident ial SITE ADDRESS: 05 SOU J1 Inc% 15"! r7 /? 0/1 Building Owner l I l Name: 1 (-^ICI + 1-( )1r lH O-- cC- v'� I .S C; x �/ Phone:rr)G- 57 %- 7 1 / `J Fax: 5D 9 ' -T �% . � / - /67,3 O `�•�I Addresss j 1,,� o Ur l� 1. �- Cltyc^`ij r�A (1 Statet Y}✓ 4 Lipt/ I of Q Contractor ' Name U l d 4- 1—. t e_bkC- \-1at l,S ��;;(� Phone6-0 _ UP) 9 - l / [ /% 3 Fax: O) _ 7X7"7 '/a-3 0 Address: ik a g locpri..1, crylic cit • 5pc-r n E. Statet , j { ` L Jam / J Zip:[ 9920 _s— License No: License City Business Lic: Contact Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT FUEL BURNING APPLIANCE Equal to or less than 100.000 1 X $12.00 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 B BOILER/REFRIGERATION 101 - 500M BTU X $20 00 9 BOILER/REFRIGERATION 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 /LS o o 14 DRYER x $10 00 15 FUEL BURNING WATER HEATER X $10.00 /P. �O 16 MISC. FUEL BURNING APPLIANCE 17 GAS PIPING (each outlet) 18 DUCT SYSTEMS i x $10 00 x $1.00 J. 00 x $10.00 13.00 19 VENTILATING FANS 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM x $10.00 C)- Gv X $12 00 21 AIR HANDLER (DOES NOT include ducting) 22 EVAPORATIVE COOLERS 23 24 TYPE I HOOD TYPE II HOOD 25 HEAT PUMP/AIR CONDITIONER Greater than 10,000 CFM 0-3 TON X $15.00 x x x $10.00 $50.00 $10.00 26 AIR CONDITIONER 4-15 TON 27 AIR CONDITIONER 15-30 TON 28 AIR CONDITIONER 30-50 TON x X x $12.00 $20.00 $25.00 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 1 L. UO 35 VENTILATION MECHANICAL EXHAUST X $12.00 36 INCINERATOR - RESIDENCE X 519.00 37 INCINERATOR - COMMERCIAL X $22.00 METHOD OF PAYMENT: ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #: AUTHORIZED SIGNATURE: REVISED 626/05 EXPIRES: VIN: SUBTOTAL PROCESSING FEE TOTAL PERMIT FEE DUE: 7. ot-i /4,.c Permit Center San 11703 E Sprague Ave, Suite B-3 pokane Spokane Valley, WA 99206 `,a7QYl (509)688-0036 FAX: (509)688-0037 ages �'ey www sookanevallev org Community Development ,,` Plumbing Permit Application n Commercial >nlesidential PERMIT NUMBER: PERMIT FEE: SITE ADDRESS: %05 Sex. U V l J Ci,/k) n r) fly? Building Owner - -_9 _) -^),s -_- _) NamenlczA) l d sLo r ab_ o- Phoo so_ &>9 _9 Har 3 Fax -0G_'/% -V _ j- i3O Address GdoRI�Or-i1�c City: Sppl(Ci'-� State toc? Zip 9/ao-ks- Contractor . ' -- Name.) L,' (� 1c Pci vr15 Phonecr�9_C/.29-9/ ��.rw� d � LLSr�''�-+//���-�� .tet/ J 3Fa 57`4176'— J�� Address: y r9- a g icor 4 L a lc City1Syb tiaLn. ,P �'y�O State:u n Zip77C2 ac �r License No: City Business Lic: Contac) )) .(_tp]7 Name:) d L7, -l- Lor etet_ L--'N=e-Y rj Phone. so / p _ 3 % 9 `7/; J /3 DESCRIPTION OF WORK # OF UNITS x Cosr TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS X 56.00 2 URINALS X $6 00 3 TUBS a X 5600 • 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT / X 56.00 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT X 56.00 6 DISHWASHER X 56 00 7 CLOTHES WASHER X $6 00 8 GARBAGE DISPOSAL / X 56 00 9 WATER SOFTENER x $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X 56 00 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X 56 00 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 13 FOUNTAINS, DRINKING X 56.00 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X 56.00 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X 56.00 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 56 00 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 56 00 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X 56.00 20 MISCELLANEOUS PLUMBING FIXTURE X 56 00 21 PRIVATE SEWAGE DISPOSAUSYS x 520.00 22 INDUSTRIAL WASTE INTERCEPTOR X 515.00 METHOD OF PAYMENT: DCASH D CHECK D VISA DMC Card# AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES VIN SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: Spokane •Valley - Community Development Plumbing Permit Application Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www. spokaneval ley.org P !' IST NUMBER: til.. . [1 By Jk VALLEY nCommercial jResidential OCT 1 % 2001 �(�y / r\? I'tHMIT CENTER ADDRESS: (I; I1 0 �J i -tet 1 1 c lC 1 n 17 C> Y-2 8 Building Owner L, Name. 1 l 1 f 8 `l' L01- Eh&c \--la ry—Ls > (,Fax Phone 9- R! 9 '� 7) -„t-09,_! / 3 `f 7. —) � Address: as R c :r- Jm r City: po l 'i `e___. State: i ;t_._( Zip: 9 O, Contractor Name � , l L o+- I-1 csl yr i S r/�`1 -4 Phone -60c7 _.E3/2 ' - 91 / J Fax: j L Jlci- U I /' I { Address:'-? as p jLbi"'�h C7ct ic City ,,b r,,,,_ •e fit, State:Le Zip990j- License No: City Business Lic: Contact ��• Name: LL')1 J 4 )__.1' e± t_Cjt lAla rr-1.-\ Phone: J0 9 ' l Q - q ` i /'‘.. _ DESCRIPTION OF WORK # OF UNITS X COST TOTAL AMOUNT 1 2 3 TOILETS URINALS TUBS WATER CLOSET. BIDETS x $6.00 ov X $6 00 x $6.00 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT / X SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT 5- 6 DISHWASHER X x $6.00 $6.00 $6.00 0o 7 CLOTHES WASHER I x $6.00 - 0c) 8 GARBAGE DISPOSAL X $6.00 Co 9 WATER SOFTENER X $6.00 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6.00 11 12 13 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 ROOF DRAINS/OVERFLOW DRAINS X $6.00 FOUNTAINS, DRINKING X $6.00 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X 56.00 15 16 17 SEWAGE EJECTOR WATER USING DEVICE CROSS CONNECTION DEVICE GRINDER, SUMP PUMP ICE AN/OR COFFEE MAKER, HOSE 81B, STEAMER PROOFER, CARBONATOR, SWAMP COOLER VACUUM BREAKER, CHECK VALVE, AND R.P.B P.D. FOR: VATS, TANKS, BOILERS 18 19 20 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X X X $6.00 $6.00 56.00 X $6.00 MEDICAL GAS (per outlet) NITROUS, OXYGEN X 56.00 MISCELLANEOUS PLUMBING FIXTURE X $6.00 21 PRIVATE SEWAGE DISPOSAL/SYS X 520.00 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 METHOD OF PAYMENT: ❑CASH 0 CHECK 0 VISA ❑ MC Card# AUTHORIZED SIGNATURE: REVISED 626/05 EXPIRES: VIN: SUBTOTAL 5:)'t. tJ PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: //9c RECEIVED BY CITY OF SPOKANE VALLEY SEP 18 2008 P r"IT CENTER c:RotA,,,,ACc\ilti--hrtc-tLA CI L-�20LA-3)Nc 0,0 L.en_ustst LAtws.(a.1}cs C) -'r\JS& `.re\6-A3- rn Q4A-,1?c& ctrnc) ciLQL.os 493. (f, . cC c o asAtt ms s. Iss_ L- Q (__aLJ m nt L'et-/V.c� SL, vis , .����5 Jl c, aL I've 1 • vC s o-✓ %J A C.5,. `)Ndccc cinkek L v-eik, 4 ----Ozco P Ft o- `a'~ cg7. l9OS SL N IT) ��rndoOJ, -=-r- cS eDp r' Qvx a u ct. (l •e 1. Lrc • 99 a / a Q ao� 5-09- 979 --9/7 1 � 4 01700 L/057 LQ�nl.l�€CJ ••••••• • Po. —.T.—. opa.seA ?'izp 5i ek e 1 0 1 ON / / T r A (4 —1-- -- S E l 1<'7.-----/--- --------- -A" .4r- ....ce 1 1.00 5.1) PLANNING DEPT. APPROVED BY. DATE. ibbt/zoo 7 /Lark j 05- ;"10' (L' fit fl orL Par c,€), -0 55 a 14-77 Loi- •'a- Q11(4080 S%..4.