2003, 07-01 Permit App: BLD-03-02015 Plumbing FixturesSpb`ke`
,>Valley
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, jJA 9,,,206 509 -688 -0037 -Fax
For Inspections, call 509-688-0054
Mechanical Permit Application
PROJECT
'OF=] X
PE=
1 RUELBUR NTNG APPLIANCE
ADDRESS: pC
- — (yl
h
USE:
>IW,IXp
OWNER —
319
3 UNLLSfEO APPLIANCE (ADDITIONAL BE
PHONE (Daytime Contact):
MAILINGADDRESS:
SSp
1 UNLLS[ED APPLIANCE(AD.iii.NAL
X
g1N
USED APPLIANCE PN6EC Mn. AFUE n
0.5
X
35B
6 USED APPLIANCE (WSEC min. pFUE ndng)
>IN,pp
X
SIOI
00HIRIREFRI0 HON
(Street)
X
(city/State)
B BOR.ERREFRIG6RATION
(ZIP)
CONTRACTOR:
33R
9 BORENREFRIGERATION
LICENSES:
ryry��
MAILING ADDRESS:
10 BOILER/REFWCERpnoN
IWl-L]53MBN
PHONE I:
$57
11 BOIL6RMEFNOERATR)N
N750MBTU
%
$95
2$ �bOsg
X
$10
I3 RANGE
(Street)
(Clty 5[afeJ
(ZIP)
METHOD OF PAY
❑ CASH
DESC RF ONOFWOIiK
'OF=] X
COS( EQUALS AMOUNF
1 RUELBUR NTNG APPLIANCE
•OR<10],W3
X
f15
S FUELBURNINC APPLIANCE
>IW,IXp
%
319
3 UNLLSfEO APPLIANCE (ADDITIONAL BE
•OR e1N,p]0
%
SSp
1 UNLLS[ED APPLIANCE(AD.iii.NAL
X
g1N
USED APPLIANCE PN6EC Mn. AFUE n
0.5
X
35B
6 USED APPLIANCE (WSEC min. pFUE ndng)
>IN,pp
X
SIOI
00HIRIREFRI0 HON
1-1WM 9TU
X
f15
B BOR.ERREFRIG6RATION
101-50JM BN
-%
33R
9 BORENREFRIGERATION
91-110]OM BIV
X
339
10 BOILER/REFWCERpnoN
IWl-L]53MBN
%
$57
11 BOIL6RMEFNOERATR)N
N750MBTU
%
$95
13 GAS LCTo. WSERT,CpS FIXEPWC6
X
$10
I3 RANGE
11 DRIER
X
310
0 MELBURNWGWATERHEATER
X
f10
16 BOSC FUEL BUM. ADPL
17 GAS PIPING I—Cuu.,
%
fl
is DUCIsY51'EM5
_
x
aR
19 VENTILATING FANS
X
f10
A AIR HANDLER (DOES NOT Ndude du Ung)
•OR<I(H0DCFM
X
f13
Il AL¢HANDLER(DOES NOT indudeducdng)
,WA00 CFM
R EVAPORATIVE COOLERS
X
510
D TYPE IHOOD
X
S50
SI TWE R HOOD
X
310
25 HEATPUF@(AIRCONDMONER
0-3TON
%
512
N "CONDITIONER
3_1570N
X
3dt
37 AIR CONDITIONER
15.3ITON
X
fII
a AIR CONDITIONER
30.53TON
X
$35
39 AIACONDTONER
.5p TON
x
ggg
W LP MILUCETANK
x
SIR
31 WOODORPELLETS77V6/INSERT
X
$10
32 WOODSTOVE-FREESIANOWC
X
$25
FIENL
Nomw r
SUBTOTAL:
PLUS PROCESSING FEE- $35.00
TOTAL PERMIT PEE DUE:
❑ CHECK [I
19
DATE: EXPIRES:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
MOD OF
'ASH
Smxrt J� 11707 East Sprague Avg nue, Suite 106 509-688-0036 - Phone
pokane I Spokane Valley, WA 9206 509 -688 -0037 -Fax
�;00v' ley For Inspections, call 509-688-0054
Plumbing Permit Application o
PROJECT
ADDRESS:
PERMIT
aE_
OWNER:
PHONE (Daytime Contact):
MAILING ADDRESS:
(street) (city/state) (Zfp)
CONTRACTOR:
LICENSE A:
MAKING ADDRESS: PHONE I:
(street) (city/state) (ZIP)
PLUMBING FIXTURES
KCARD NUMBER:
HORIZED SIGNATURE:
DESCRIPTION
DETAILS
4 O UN]G7S
I X
I COSI
1EQLLALS1
"OI T
1
TOILETS
WATER CLOSET, BIDEIS
X
SIS
3
URINALS
X
3
TUBS
X
SIS
4
SHOWERS( PER TRAP)
BATH,STALL,ON-SnEBUILT
X
56
5
SINKS
LAVS/BASINS,BAR, L Ft KITCHEN,
LAUNDRY, ITRITfY, IANDOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
X
§6
6
DISHWASHER
X
7
CUJTtiFS WASHER
X
,56
8
GARBAGE DISPOSAL
X
9
WATER SOF35NER
X
10
ELECT. HOTWATER'IANK
NOTE1FGAs SEEMECHAMCAL
X
56
11
FLDORDRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
S6
-
13
FOUNTAINS, DRINKING
X
M
13
WATER PIPING/DRAIN-N
WASTE VENT, PLUMBING.
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
%
-
14
SEWAGE EJECTOR
GRINDER5UMPPUBtP
X
$6
15
WATERUSING DEVICE
ICE AND/OR COFFEE MAKER HOSE BIB,
STEAMER, PROOFER CARBONAMF,
SWAMPCOOLER
X
$6
-
16
CROSS CONNECTION DEVICE
VACW BREAKER CHECK VALVA AND
RP.B.P.D. FOR: VATS, TANKS, BOILERS
X
-
17
SPRINKLER SYSTEM
X
525
18
INTERCEPTORS
GREASETRAP,SANDTRAP,CHEMICAL
HOLDINGTANK
X
-
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
f6
20
ML5C.PLUMBING FDRURE
X
SIS
PAYhDiNi
f' —
7 CIIECx ❑ ❑ _ _.... _
SUBTOTAL:
PLUS PROCESSING HE:
$35.00
TOTAL PERMIT FEE DUE:
KCARD NUMBER:
HORIZED SIGNATURE: