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2003, 11-07 Permit App: BLD-03-03024 Plumbing FixturesETHOD OP CASH TE: SVorkalle Plumbing Permit Application • 11707 East SpFSRue Avenue, Suite 106 Spokane Valley, WA 99206 509 -688 -0036' -Phone 509-688-0037 - Fax PROJECT ADDRESS: DESCRIPTION PERMIT USE: 1 OF UNITS OWNER COST PHONE (Daytime Contact): MAILINGADDRESS: 1 '(street) ' (city/state) (LBP) CONTRACTOR: X LICENSE /: MAILING ADDRESS: PHONE 1: URINALS (street) (city/state) (ZIP). ' PLUMBING FLYTURES NKCARD NUMBER THORIZED SIGNATURE: DESCRIPTION - DETAILS 1 OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS 1 X 56 2 URINALS X 56 - 3 TUBS - 4 SHOWERS (PFR TRAP) BATH, STALL, ON-SITE BUILT I X 5 SINKS LAYS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY; UTILITY, JANITOR PHOTO, X- RAT, FOOD; PREP/CULWARY/MEAT ( X E6 - 6 DISHWASHER X 56 ' - 7 CLOTHES WASHER X 56 - 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X . $6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X E5. ... FOUNTAINS -DRINKING '— - - 56 - , 13 WATER PIPING/DRAW-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS. - X 56 . - 14 SEWAGE EJECTOR GRINDER SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6' - . 16 CROSS CONNECTION DEVICE ,. VACUUM BREAKER, CHECK VALVE, AND RPSP.D. FOR: VATS, TANKS, BOILERS 'X - 17 SPRINKLER SYSTEM X 525 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDINGTANK 'X - - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $$ - 20 MISC PLUMBING FIXTURE X E6 - PAYMENT, &' st .&zit CHECK 0' 0 - .. SUBTOTAL ' .9) 1 4 p PLUS PROCESSING PER - $35.00 TOTAL PERMIT PEE DUE: s---,,,, NKCARD NUMBER THORIZED SIGNATURE: aline .. .00Valley Mechanical Permit Application 11707 East Sprague Avenlle, Suite 106 Spokane Valley, WA 99206 509-688-0036 - Phone 509-688-0037 - Fax METHOD OF PA 0 CASH 0 PROJECT ADDRESS: /l�// f- L �/1L .h 474— i,A76 V�t PERMIT USE: OWNER' ' // kip( /r /2E4- L PHONE (Daytime Contact): MAILING ADDRESS: ' 7 /1 • t 1 3 5—tact 3.CJ-tD- (street) (city/state) (ZIP) CONTRACTOR:LICENSE bile-s-tr E./erel.' t: Atte,..,,E' 'A SP? MAILINGADDRESS: -'. % I r7 PHONE 1: 2-2 5-fDSct `)zl /1/%ttRd S k.aifce :a er724.17.t (street) ' (dry state) (ZIP) • METHOD OF PA 0 CASH 0 DATE EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK SOF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE . • OR a l00,000 X ' 515 • 1 FUEL BURNING APPLIANCE >1Z '.X 519 • 3 UNLISTED APPLIANCE (ADDMONAL FEE) • OR<4W,dU X $SO - 4. UNLISTEDAPPWNCE (ADDITIONAL FEE) 9 40010 X' 5100 - 5 USED APPLIANCE (WSEC min. AFTJE rating) di4404000 X. gyp - 6 USED APPLIANCE (MEC min. APUR eitng) > 40100 X 5100 • 7 BOILEIREFNCERAIION 1- 100M BTU X 515 5 BOILERREFRIGERATION 101.500M BTU X 528 • 9 BOILER/REFRIGERATION 501 . LOOM BTU X 539 10 BOILER/REFRIGERATION 101- L750M BTU X . 557 • II BOILER/REFRIGERATION +170M BTU X 595 • 13 GASLOG, GAS INSERT, GAS FIEF -PLACE - X 510 • 13 RANGE - X $10 14 DRYER' - X 510 • 15 FUEL BURNING WATER HEATER - •- X 510 • 16 MISC FUEL BURNINGAPPL ..•- 17 CAS (ee.0utlet) - X 51 • 18 DUCT SING DUCISTSIABS X 510 - 19 VENTILATING FANS - X 510 • 21 AIR HANDLER (DOES NOT include duNng) • OR <10,003CM X 512 - 21 AIX HANDLER (DOES NOT Include ducting) > 10,00- CFM X 519 • 32 EVAPORATIVE COOLERS - X 510 .• 23 TYPE f HOOD _ X f30 • N TYPE II HOOD - X 510 • 25 HEATPUMPIAR CONDITIONER as TDN X 521 - M AR CONDITIONER 3-15 TON X 520 • 27 ;UR COMMONER 15-30 TON X 525 • 28 AIRCONDn1ONER 30.50 TON X 535 • 29 AIR CONDITIONER 210 TON X 530 - 30 LPG STORAGE TANK - X SID • 31 WOOD OR PELLET STOVE/INSERT _ X ' 510 - 32 WOOD STOVE - FREE STANDING _ X Eu - KENT ^ .-. ✓,sfxy('2i1 SUBTOTAL PLUS PROCESSING FEL' $35.00 TOTAL PERMIT PEE DUE: DATE EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: