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2003, 10-07 Permit App: BLD-03-02701 Plumbing FixturesErHOD OF GSH 4TE srvll Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valle$IVA 59206 509-688-0037 - Fax For Inspections, call 509-688-0054 PROJECT ADDRESS: DESCRIPTION PERMIT USE: OWNER: X PHONE (Daytime Contact): MAILING ADDRESS: AMOUNT (street) (city/state) • (ZIP) CONTRACTOR ) LICENSE if. MAILING ADDRESS: PHONES: URINALS (street) (city/state) (ZIP) PLUMBING FIXTURES INKCARD NUMSEJL JTHORIZED SIGNATURE DESCRIPTION DETAILS 4 OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS ) X - 2 URINALS X EIS- 3 TUBS X S6 - 4 SHOWERS (PER TRAP) BATH, SCALL, ONNSTIE BUILT X 56 5 SINKS LAYS/BASINS, BAR FLOOR KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAT, FOOD, PREP/CULINARY/MEAT X - 6 DISHWASHER X EIS - 7 CLOTHES WASHER X 56 - 8 GARBAGE DISPOSAL X 86 9 WATERSOFrENER X $6 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $S - 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X E6 - 12 FOUNTAINS, DRINKING X $6 - 13 WATERPIPINC/DRAIN-IN WASTE, VENT, PLUMBING. REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X - 19 SEWAGE EJECTOR GRINDER, SUMP PUMP X - 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 RP.3.P.D. FOR: VATS, TANKS BOILERS X 86- 17 SPRINKLER SYSTEM X 525 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEaaCAL HOLDING TANK X $6 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6 PAYMENTSUBTOTAL: ❑ CHECK PLUS PROCESSING FEE: $35.00 ■ ❑ cnrwe- TOTAL PERMIT FEE DUE: INKCARD NUMSEJL JTHORIZED SIGNATURE Srakan ems` #Valley Mechanical Permit Application 11707 Eat Spragae. Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, VPA -9f2t6 509-688-0037 - Fax For Inspections, call 509-688-0054 PROJECT� ADDRESS: � n9/s,l WQ/ DESCRIPTION OF WORK 1OF UMTS PERMIT USE: OWNER: 6'0z7. 64-44, , EQUALS PHONE (Daytime Contact): MAILING ADDRESS: 6g h t 16, AIL"-irCk I(11C w3 967 iZ (street) (dty/state (ZIP) CONTRACTOR: G' �y A 4 / LICENSE A: f -AA 44 p 82G/J MAILING ADDRESS: —3e5-2/ n / lfsfid / S k,E<..-401 PHONE #: X -7.-2 '1 (street) city/state) (ZIP) METHOD OF PA 1:1 CASH ❑ C DATE: EXPIRES: BANKCARD NUMBER: AUTHORIFFO SIGNATURE: DESCRIPTION OF WORK 1OF UMTS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE •OR< 100,000 X 515• 2 FUEL BURNING APPLIANCE >100,000 X 519 • 3 UNLISTED APPLIANCE (ADDITIONAL FEE) • OR <400,000 X 550 • 4 UNLISTED APPLIANCE (ADDITIONAL FEE) >400,000 _ _ X 5100 - 5 USED APPLIANCE (WSEC min. AFUE rating) • or<4WA]0 X 550 • 6 USED APPLIANCE (MEC Mn. AFUE rating) >4Wµtl X $100 • BOILER/REFRIGERATION 1-100M BTU X 515 • 8 BOILER/REFRIGERATION 101-5WM BTU 'X 522 • 9 BOILER/REFRIGERATION 501- 1,000M BTU X 539 • 10 BORER/REFRIGERATION 1001- 1,15DM WM X $57 • 11 BOILER/REFRIGERATION •175DM BTU X 595 • 12 GAS LOG, GAS INSERT,, GAS FIREPLACE - X 510 - 13 RANGE - X 510 • 14 DRYER - X 510 • 15 FUEL BURNING WATER HEATER - X 510 • 16 MISC. FUEL BURNINGAPPL - X 510 - 17 GAS KENO (ea. Outlet) - _ _ _ X _ 51 • 10 DUCT SYSTEMS - X 510 - 19 VENTILATING FANS - X 510 • r AIX HANDLER (GOES NOT Include ducting) -OR <10,WOCFM X 512• 21 AIR HANDLER (DOES NOT Include ducting) > 10,[00 CFM X 519 - II EVAPORATIVE COOLERS - X 510 - 13 TYPE MOOD - X s50 - 14 TYPE B HOOD - X 510• 25 HEAT PUMP/AIR COMMONER 03 TON X 512 • 25 AIR CONDITIONER 3-15 TON X 520 • 11 AIRLONDFHONER 1530 TON X 525 - 23 AIRCONDITIONER 30-5010N X 535 • 29 AIR CONDHIONER a<A TON X NO - 30 LPG STORAGE TANK - X 510 - 31 WOOD ORPELLETSIOVE/INSERT - X 510 • 32 WOOD STOVE - FREE SCANONC - X 525 - KENT 1,yLrye 4Fr,c El 11111101111 n _ SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT PEE DUE DATE: EXPIRES: BANKCARD NUMBER: AUTHORIFFO SIGNATURE: