2004, 06-10 Permit App: BLD-04-04567 Mechanical FixturesS0an e Ir `� 11707 East Spiague Avenue, Suite 106 509-688-0036 - Phone
5 Spokane Valley, WA 99206 509 -688 -0037 -Fax
'O ♦CLlley For Inspections, call 509-688-0054
Mechanical Permit Application
PROJECT'l
PERF=
COST EQUALS
ADDRESS: (, ])C4)0 IOiu-
I KcIL BURNING APPLIANCE
USE:
x
OWNER 3e:-,)? ��� ��
PHONE(D,d.m C.GWct): -'5—/Y
MAILRQG ADDRESS:
ON
X
E19
X410 to"- 5
u°uF�tl�_
�.-P
99dclb
(Etreet)
(dry/state)
4 UNLISTED APPLIANCE UODMONAL FEE)V
(ZIP)
CONTRACTOR:
LICENSEC
��1�(✓'k �`1C �t3
MAILING ADDRESS:
PHONE 3:
USED AFPLIANCE(WSEC min. ANE,atlnB)3
(street)
(d /state)
BIL
(ZIP)
u a'•P'�?L - . I73
❑ CASH
DESCRIRTIONOFWORXW-OR<�,�
FOR!➢TITS X
COST EQUALS
AxtouV
I KcIL BURNING APPLIANCE
ORW,CN
x
Sly
3 SUELBUBNINOAPPLIANCE
ON
X
E19
3 UNUSIED AFFuANCE(ADDIII NALFEE),0.
X
w
4 UNLISTED APPLIANCE UODMONAL FEE)V
USED APPLIANCE(WEEC miry ANE hang),BJB
USED AFPLIANCE(WSEC min. ANE,atlnB)3
] BOcCaTEEFRIGERAIION
BIL
8 BORER/RFFWGERATION
BN
9 BOILEPJR6FRIGERATIDN
M BN
jX-7
IB B01LER/REFRICERATION
MBiv
Il BMERIREFRIGERATION
-IMMM
11 GAS LOG, GAS INSERT, GAS FIREPLACE
13 RANGE
14 DRYER
x
$10
IS NEL BURN I, WATER HEATER
x
$10
16 As ScFUEL SURMN. ADPL
X
nD
V GAS PRING(n.0utlet)
x
$1
1B OUccsmmBw
x
S30
t9 VENIILATWGFANE
X
SIO
ID AW HANDLER(OOESNGT Ntlude du<ung)
-Oft<IO,NLCFM
X
$13
11 AIXHANDLER(WESNOTNtludedu<dug)
>lOpLCFM
X
$19
EEVAPoRATNECWLE0.5
X
SID
u TTPEIxooD
x
ssD
M EIIHOOD
X
510
8..AT FUMPIAIRCONDITIONER
0-3170N
x
SID
L
36 AIRCON.MONEE
3-15TON
x
SID
17 AIRCONDMONER
15-30TON
X
w
38 AIRCONDMONER
.50TON
X
535
19 AIRCONDOICNER
>SD TON
X
350
33 LPGSFORAGETANK
X
SID
31 WOO.ORPELLETS7DVERNSERT
X
sic
n WOODSIOVE FREESTANDING
X
SII
xg,Ny
amp
SMOTAL
PLU5 PROCESSING FEE:
TOTAL PERMIT FEE DUE:
535. W
1. ITO
DATE: EXPIRES
BANKCARD NUMBER,
AUTHOMUD SIGNATURE:
EETROD OF
CASH
An
SSO4rc 4/— \r� 11707 East Sprague Aven4le, Suite 106 509-688-0036 - Phone
pokane Spokane Valley, WA 99206 509-688-0037- Fax
'W For Inspections, call 509-688-0054
Plumbing Permit Application
PROJECT
CRIPTION
DETAILS
PERMIT
X
ADDRESS: 7 IIqj�,)
IQ'
AMOLWT
USE:
OWNER �LS �L
CIL
X
PHONE(Daytime Cont.&): �,9 cC
%-5 > /
MAILWG ADDRESS:
L Ogti o o`er
X
$6
(sheet)
(dty/state)
(ZIP)
CONTRACTOR: `
LICENSE 4:
Mw��
MAILING ADDRESS:
X
PHONE t:
BAR FLOOR KITCHEN,LAUNDRY, LITILFIYJANUOR PHOTO, X-
FOOD, PREP/CVLINARY/MEATEs
X
56RAY,
(sheet)
(city/state)
X
(ZIP)
PLUMBING FIXTURES
kNKCARD NUMBER
JTHORIZED SIGNATURE:
CRIPTION
DETAILS
;OFUNITS
X
COST
EQUALS
AMOLWT
WATERCLOSEr, BIDETS
X
y6
X
$6
X
$6ERTRAP)
Mw��
BATH,SALLON-3REBUMT
X
§6LAVSBASINS,
BAR FLOOR KITCHEN,LAUNDRY, LITILFIYJANUOR PHOTO, X-
FOOD, PREP/CVLINARY/MEATEs
X
56RAY,
X
S6AS
X
M
B
GARSAGEDISPOSAL
X
sa
_
9
WATER SOFTENER
X
$6
10
ELECTHOTWAtERTANK
NOTE:IFGAS,SEEMECHAMCAL
X
ib
11
FLOOR DRAMS
AREA, CASE, COIL,TRENCHCONDENSAIE
X
fb
_
12
FOUM'AINS, DRINKING
X
$6
13
WATER FPTNGA RAIN -IN
WASTE, VEIN, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
%
14
SEWAGE EJECTOR
GRINDER SUMP PU
X
E6
13
WATER USING DENCE
ICE AND/OR COFFEE MAKER HOSE BIB,
STEAMER PROOFER CARBONATOR,
SWAMP COOLER
X
E6
-
16
CROSS CONNECTION DEVICE
VACUUMBREAKEACHECKVALVEAND
RP.BP.D. FOR: VATS, TANKS, BOILERS
X
%
17
SPRINKLER SYSIFhT
X
18
INTERCEPTORS
CREASE TRAP, SAID TRAP, CHEhBCAL
HOLDING TANK
X
19
MEDICAL GAS pwout t
NRROUs, OXYGEN
X
S6
20
MLSC. PLUMBING FUNRE
X
f6
PAYMENT
❑ CHECK ❑ ❑'— _
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
kNKCARD NUMBER
JTHORIZED SIGNATURE: