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2003, 08-12 Permit App: BLD-03-02207 Plumbing Reversal cart c�rj,/ � 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone 1.�pO ie Spokane Valley,WA 99206 509-688-0037-Fax Walley For Insrectiuns, call 509-688-0054 Plumbing Permit Application 6e — �� 7 PROJECT PERMIT ADDRESS: /6, 2 c1,:1;,u (�J/' USE: F1-4OWNER: .ex ) er) l l PHONE(Daytime Contact): ?‘•-• ?//....zMAILING ADDRESS: /� /�C (&&..t.774-Mst- ' /C7/..1., 1 4`0,1-,e)...)' (street) (city/state) (ZIP) CONTRACTOR // // LICENSE#: (--"Of ai'r_h0.-4/`nNC L L21.JQ', - r MAILING ADDRESS: PHONE#: /7 LSA/9el V .e (2,2,4 (street) (city/state) (ZIP) ' PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS X r $6 - 2 URINALS X r $6 - 3 TUBS X $6 - 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 5 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6 - RAY,FOOD,PREP/CULINARY/MEAT 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 MECHANICALX $6 - _ 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 - 12 FOUNTAINS,DRINKING X $6 - 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, WASTE,VENT,PLUMBING REVERSALS X $6 REVERSAL l •e76 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, STEAMER,PROOFER,CARBONATOR, X $6 - SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND X $6 - RP.B.P.D.FOR:VATS,TANKS,BOILERS 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL HOLDING TANK X $b - 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FIXTURE X $6 - 4ETHOD OF PAYMENT SUBTOTAL: E) • P"asPLUS PROCESSING FEE: $35.00 ] CASH 0 CHECK 0 NM= 0 L . _: ". TOTAL PERMIT FEE DUE:.7e( 7 Cie) )ATE: EXPIRES: ANKCARD NUMBER: UTHORIZED SIGNATURE: are c 4100 1.1111111111\644, 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone poane Spokane Valley,WA 99206 509-688-0037-Fax For Ins ectidns, call 509-688-0054 4.0Valley 'Mechanical Permit Application PROJECT PERMIT ADDRESS: it:, c' }per�e, USE: OWNER /5; / /,., /�j`, `( PHONE(Daytime Contact): ?`/� MAILING ADDRESS: // �C (street) (city/state) (ZIP) CONTRACTOR: ,zLICENSE#: > C:mac'IL,9- ( e _e-,.:,,,,,-t, ,,,. .�e 1...,,lie 7 /7/x? MAILING ADDRESS: PHONE#: • i 7 isY R 4' _5>a,-.45- ,-e_ i,i-9/9-"�9 .3---. 57- f.,..'�-ri ,_6-4/ f'j�- b ::,-.e,--,t,Lie'1^L"$ (street) (city/state) (Zn') DESCRIPTION OF WORK #OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE -OR<100,000 X $15 - 2 FUEL BURNING APPLIANCE >100,000 X $19 - 3 UNLISTED APPLIANCE(ADDITIONAL FEE) -OR<400,000 X $50 - 4 UNLISTED APPLIANCE(ADDITIONAL FEE) >400,000 X $100 - 5 USED APPLIANCE(WSEC min.AFUE rating) -or<400,000 X $50 - 6 USED APPLIANCE(WSEC min.AFUE rating) >400,000 X $100 7 BOILER/REFRIGERATION 1-100M BTU X $15 - 8 BOILER/REFRIGERATION 101-500M BTU X $28 - 9 BOILER/REFRIGERATION 501-1,000M BTU X $39 - 10 BOILER/REFRIGERATION 1001-1,750M BTU X . $57 = 11 BOILER/REFRIGERATION +1750M BTU X $95 - 12 GAS LOG,GAS INSERT,GAS FIREPLACE - X $10 - 13 RANGE - X $10 - 14 DRYER - X $10 . 15 FUEL BURNING WATER HEATER - X $10 16 MISC.FUEL BURNING APPL. - X $10 - 17 GAS PIPING(ea.Outlet) - X $1 - 18 DUCT SYSTEMS - X $10 - 19 VENTILATING FANS - X $10 - 20 AIR HANDLER(DOES NOT include ducting) -OR<10,000CFM X $12 - 21 AIR HANDLER(DOES NOT include ducting) >10,000 CFM X $19 - 22 EVAPORATIVE COOLERS - X $10 - 23 TYPE I HOOD - X $50 - 24 TYPE II HOOD - X $10 - 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 - 26 AIR CONDITIONER 3-15 TON X $20 - 27 AIR CONDITIONER 15-30 TON X $25 - 28 AIR CONDITIONER 30-50 TON X $35 - 29 AIR CONDITIONER +50 TON X $60 30 LPG STORAGE TANK - X $10 - 31 WOOD OR PELLET STOVE/INSERT - X $10 - 32 WOOD STOVE-FREE STANDING - X $25 - SUBTOTAL: METHOD OF PAYMENT PLUS PROCESSING FEE: $35.00 IS Vi ( ,. TOTAL PERMIT FEE DUE: ❑ CASH ❑ CHECK ❑ ❑ L_ .. = '.'_ DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: