2003, 04-08 Permit App: BD03-045 Plumbing Reversal City of PLUMBING/MECHANICAL -`
SPOKANE VALLEY PERMIT APPLICATION & / t' z ) l ,Z
PERMIT # bD0 -0 L/5
Contractor Information - Information ,
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Job Addre s Owner Name
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Contractors Names, Owner's Address _
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Contractor's address City V , Zip Code c 63cs-
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City Zip Code Ownerhone ber
5 c)7$'3 2 6".'t-705/ /3 0,/�9 3 5-2, 7'Contractor Phone Nu Tax Parcel Number(Assessors Number)
Contractor's registration card(or copy)must be presented at
time of submittal.
Fixture Count/Schedule of Work
Mechanical Basic fee $35. Plumbing Basic fee $35.
Number _ Furnace (up to 100,000 btu) $15.ea Number _ Toilets Urinals $6.ea
Gas Hot Water Heater $10.ea _ Tub&faucets $6.ea
Cook Top&other appliances $10.ea _ Shower heads $6.ea
Clothes dryer $10.ea _ Bathroom sinks $6.ea
_ Conversion burner $10. _ Kitchen sinks $6.ea
Gas logs,gas fireplace insert $10.ea _ Dishwashers $6.ea
Wood stove system $25. _ Hot water tank $10.ea
Appliance vent repair-relocation $7.50 ea _ Lawn sprinkling system $25.
Laundry Washer/sink $10.ea _ Private sewage system $20.
A/C unit ((up to 3 tons) $12. - Vacuum type breaker(5)$25.
Unit Heater (up to 100,000 btu) $12.ea _ Drinking fountains $6.ea
Fireplace insert (wood-pellets) $10.ea _ Floor Drains $6.ea
Evaporative coolers $12.ea Sump $6.ea
Commercial Hood $12.ea = Backflow preventor $6.ea �f✓ jr
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Exhaust vents $8.ea _ pipe-drainage repair $6.ea �"
Ducts system $12. _ Hose Bib $6.ea
Gas Piping ( outlets) $5.up to 4 outlets
($1.for every outlet after 4)
Total
Total COFee Cost$ Fee Cost$ Total$ I•CO
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Mastercard No. Expiration date
Print name of holder Signature
Signature of applicant Date
HOMEOWNER INSTALLER ONLY
I hereby certify that I am the owner of the property described in this application.I understand that
the work is subject to inspection and approval by the City of Spokane Valley,and that I may not allow any
other person,including a licensed contractor,to do any work under this permit.
Signature of owner Date
FOR OFFICE USE ONLY
Date received Circle one: Plumbing Mechanical Both
Supplemental to Permit Number: Date Permit Issued
Permit Number C) e3 '0'16- Fee collected$ I-11-,0 6
Issued By: Date -55-03
s-vme-pl
City of
SPOKANE VALLEY
( 44A"(
INSPECTION REQUEST pi U-et S ` B LDING D TMENT
Date and time received L//�/o `3 5''36 Permit Number )13 03 -04/5—
Project Name
Site Address -7 3/_20, a 10
Requester's name se,i7.t0 N ( S Phone number 53 -07
BUILDING
Foundation Concrete slab Underfloor Framing Insulation
Wallboard Sp ial Final
PLUMBING
kough in Special Final eV(
MECHANICAL
Rough in gas piping Furnace Appliances Special Final
SIGNS
Foundation Special Final
CLEARING AND/OR GRADING
Silt fence Erosion Control Special Clearing Final
OTHER
Foundation Framing Special
OTHER
Inspection Requested for : Mon Tuel7-Wed Thurs Fri AM PM
Comments
1717Cr.
Inspector Date&time inspected 9U ) / 1�'_G 3
S-VTNSREQ