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2011, 01-25 Permit App: 11000167 Plumbing, Mechanical Fixtures Permit Center 11703E Sprague Ave,Suite B-3 Spokane Spokane Valley,WA 99206 PERMIT NUMBER: OV0-1 valley` (509)688-0036 FAX:(509)688-0037 PERMIT FEE: CeCo — Community Development permitcenter(a�spokanevalley.org Mechanical Permit Application Commercial [Residential SITE ADDRESS:_ I�4-113 S V re-% IJ Building Owner Name: og cc A e. y. c. Phone: 1 _U�?3 Fax: Address: f s �' �� _y City: -> a v i State: Zip: Contractor Name: (3e4 cur fig•.... c,, 4,i Phone: c s-`f Fax: .Z 38- b'l 7 Address: (2 i E .4V1 c,cY o w3 City' ri .� State: (At A Zip: 7`I czt 3 License No: /3 E r.l e City Business Lic: i� �� 3 o C ,3 Contact/Project Manager: Name: Phone: c.4i ✓U tri get -S•i�:i #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 Over 3-15 hp—100,001 to 500,000 BTU BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 15—30 hp -500,001 to 1,000,000 BTU BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 30 hp—1,000,001 to 1,750,000 BTU BOILER,COMPRESSORS,ABSORPTIONS SYSTEM Over 50 hp—over 1,750,000 BTU AIR HANDLER(DOES NOT include ducting) Each unit up to 10,000 cfm,including ducts AIR HANDLER(DOES NOT include ducting) Each unit over 10,000 cfm EVAPORATIVE COOLERS(other than portables) VENTILATION AND EXHAUST Each fan connected to a singe duct VENTILATION AND EXHAUST Each ventilation system VENTILATION AND EXHAUST Each hood served by mechanical exhaust INCINERATORS Installation or relocation of residential INCINERATORS Installation or relocation of commercial APPLIANCES Range,Clothes Washer UNLISTED APPLIANCES Under 400,000 BTU UNLISTED APPLIANCES Over 400,000 BTU HOOD Type 1 HOOD Type II L P STORAGE TANK WOOD OR PELLET STOVE INSERT WOOD STOVE SYSTEM—FREE STANDING EXPIRES: VIN: ❑CASH ❑CHECK ❑VISA ❑MC CARD#: SIGNATURE s-z; t ,r :JA!°!g�� http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/MechanicalPermitApgl( OR040309 doc _- i Permit Center 11703 E Sprague Ave,Suite B-3 pokane Spokane Valley,WA 99206 PERMIT NUMBER: •Valleyx (509)688-0036 FAX:(509)688-0037 PERMIT FEE: permitcenter@spokanevalley.org Community Development Plumbing Permit Application n Commercial n Residential SITE ADDRESS: _ f kE/ 3 5 'I Building Owner Name: 0 w 1" 4 .. ✓Vl kr a Phone: ?CI _ 7 S Fax: Address: yy , t City: State: Zip: Contractor s, Name: /3Ts,.eas'"r':4 L:ir�.>.�.. �' _,.sf Phone: 91; 3`I Fax: zu " Jf"r3 Address: City: �� ..,._ State: t.s 4 Zip: lSuf /2 311 E 3 AAe r„..4,, � License No: eivc c i 3C City Business Lie: Contact/Project Manager: Name: IL r.•ei a i AI r,i Phone: q c,- -3-5 3 #OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS SHOWERS(per trap) Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, SINKS Prep/Culinary Meat DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL 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 OCASH ❑CHECK ❑VISA ❑MC EXPIRES: Card# VIN: SIGNATURE: [ 1 a ¢ ypp�l,g5 CURRENT FEES AVAILABLE AT:http://www.spokanevalley.orq/under the quick links for Forms,Master Fee Schedule. http://www.spokanevalley.org/uploads/CommunityDevelopment/Documents/Forms/Building/PlumbingPermitApphtkffl 1# WdDe- ---_—