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2004, 03-08 Permit App: BLD-04-03721 Furnace, AC
03/08/2004 12:10 5by4a4ibil KK r1tM I lr' r 1-1vL V1!4.,.0 Crt . of PLUMBING/MECHANICAL • SPOKANE.'VALLEY-EY` PERMIT APPLICATION & PERMIT # 3 • Contractor.fnformation.•' Applicant Inforuaation La 04 /l/': >u)s•o.lis-:a:a.: �eb�(�., (;,. es Job Address Owner Name R (L . Vila is'�5 3c N• S+-j mac•- /e1 Contractor's Names : ` . • Owner's Address • 110I? E: Ce: .,-'t.. • .Sp_,I4„&,.1 990-0 b Contractor's address :: : _City Zip Code • City Zip Code. :Owner phone number .5--v9- NJ4/-it/o Contractor Phone NUMber.. : .. • . Tax Farce'Number(Assessors Number) : . . . . 'Contractor's registration card(or copy)must be presented at time of submittal. • •Fixture Count/Schedule of.Work �,,,� • Mechanical Basic fee::. ' `. ..•a . •• ` ' $35. Plumbing Basic fee $35. • Number _1_ Furnace •(up to 100,000 btu) ,' ei..) Number Toilets Urinals $6.ea Gas•Rot Water Heater' :': M ea Tub&faucets $6.ea Cook Top'6r other.,appiliicee::° •310.is — Shower heads S 6;ea Clothes dryer $10.ea — Bathroom sinks $6:ea Conversion burner .,. '. 310. _ Kitchen sinks • $6.ea Gas togs,gas fireplace insert $10.ea — Dishwashers $6.ea Wood stoye.system •S25: • — Rot water tank S10.ea — Appliance Vent repair relocation. ..S 750 ea. _ Lawn sprinkling system $25. ' Laubdty Walter(sink • $10.ea Private sewage system $20. AIC unit.((up to 3 tons) • ~.if -> — Vacuum type breaker(5)$25: ': Unit Herter.: (wisp to:100,-0Q0 btu) • , :ea — Drinking fountains S 6.ea Fireplace insert (wood–pellets) $10.ea — Floor Drains $6.ea Evaporative coolers 512.ea — Sump S 6.ea _ Commercial Rood . $12.es Backflow prcventor $,6.ea Zshaustvents; 4 8,cat — pipe-drainage repair S 6.ea — Ducts systenj. . .. .: •. $12. — Rose Bib S 6 ea. • Gia k'iping•( putter's) $5.up:to 4 outlets . •(S 1.foe ivtry Outlet after 4) • • ' Total Toa' _ ::. . --- // .. Fee Cost 5.1 . ••. pc . .Fee Coat S Total S ( I hereby authorize the City of Spokane!Valley to charge the fee[or this permit to my credit card: (0/V /[-‘ 1Visa. il2astercard. .No•. _•._, --�= ---- -------- f Print name of holder . 4 Signature . Signature of;applicant .:•; — Date .. .. HOMEOWNER INSTALLER ONLX ;: :.:.::' . I haebycextifytltat-Xpit the owacr:ofthe property described in this application.I understand that the work`is saibjeat to lrupectiaon and;dpprwvalby thtCity,of,3pokane Valley,and that I ntay not allow any other person,induding a ticoistd contractor,to do any work under this permit ,Signature of owner _.. . Date FOR OFFICE USE ONLY: - Date received ; . _ . . _ Circle one:.. :Plumbing 1 Mechanical Both Supplemental to Permit Number: • ' Date Permit Issued _ Permit Number Fee collected$ • Issued By:. Date • s-vme-pl . : • MAR 08 2004 11 16 5094841505 PAGE.01