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2003, 10-20 Permit App: BLD-03-02822 Duplex , *Wane . . 4.00Va'ley PERMIT APPLICATION WORK SHEET SPOKANE VALLEY COMMUNITY DEVELOPMENT BUILDING DIVISION 11707 East Sprague Ave Ste 106 Spokane Valley, W64 99206 Phone: 509 688-0036 Fax: 509 688-0037 J[ EQUIREDSIT—.NFORMATION NINI STREET ADDRESS: II .5 ad /O�5"— I 0 Z 7 5 `�� SSI?3 ASSESSOR'S TAX PARCEL NUMBER(S): , 1 a` e=taoc, j - LEGAL DISCRIPTION: _ __ - PERMIT DESCRIPTION: D EUILLAINTG PERMIT a MANGE IN USE CI-GRADING CI MAGI 7FACTURED ROME DRELOCAT1ON DSIGN EtTE.NAM1 E OJEER OWNER /APPLICANT INFORMATION • 0 OWNER: p)kuauDal fNSat 0 APPLICANT: 15321 E.MISSIt1N AVE. PHONE: _ VFRAfAI F RAX99037 PHONE: FAX: (509)924-8964 . ADDRESS: • ADDRESS: _ CITY,STATE,ZIP • CITY,STATE,ZIP °CONTRACTOR:, D ARCHITECT: -_ PHONE: ,FAX: PHONE: FAX: ADDRESS: ADDRESS: _ CITY,,STATE,ZIP CITY,STATE,ZIP WA ST CONTRACTOR LICENSE i CONTACT: ' PERMIT/BUILDING INFORMATION COST OF PROJECT: f c f 30%SLOPES ON PROPERTY: MAIN FLOOR SQ FT: 17 11 BUILDING HEIGHT TO PEAK: /'i t7CCUPANCY GROUP: '!G 2N0 FLOOR SQ FT: BUILDING DIMENSIONS: L/hi CONSTRUCTION TYPE: (Jvi"v UNFIN BASEMENT:_ NUMBER OF STORIES: 6 STRUCTURES ON PROPERTY: -- FINISHED BASEMENT: NUMBER of BEDROOMS: 6. CRITICAL AREAS: GARAGE: - DATE: -- - STAFF: --- _.—.. ..... �- ... METHOD OF PA YMENT: 0 0 D r' - . ; 0 i ■rr CASH CHECK BANKCARDa; EXPIRES; VIN# AUTHORIZED SIGNATURE; ,. SO 20*d V6089E6 01 ad TO:LT 200E OZ ddS ** SO.30dd 1UIO1 ** �� 11707 East Sprague Avenue,Suite 106 509-688=0036-Phone Spokane Valley,WA 99206 509-688-0037-Fax 4,,000Valley __ •Mechanical Permit Application PROJECT PERMIT ADDRESS: OWNER USE: PHONE(Daytime Contact): MAILING ADDRESS: • ..—'"— • • (street) (city/state) grP) CONTRACTOR: 'LICENSE I: MAILING ADDRESS:-• PHONE I: • • (street) (city/state) '— ill III DESCRIPTION OF WORK ' . 1 OF UNXTS I COST EQII,4LS AMOUNT' Q FUEL BURNING APPUANCE ..OR c 100.000 Z.- X ' 515 ..' II FUEL BURNING APPLIANCE >100,000 �' go UNLISTED APPLIANCE(ADDrIIONAL FEE) -OR<400,400 ill� x S19 50 III UNL STED APPLIANCE(ADDITIONAL PEE) s 400,Q00 X ADD • USED APPLIANCE(WBEC A1(11 AARMsting) ••or<100,000 X • i$so USED APPLIANCE MSEC min.ARA sting) )400000 _ $100 is.., SOR.ERIREF1uGERAITON 1-100Id BTU Sts d BDIuu/REFRIGFRATION 101•SOOM STU MIN S28 S BOILER/REFRIGERATION 501-TE02,4 8Th X $3 I En 10 ROILER/REFRIGERAT1ON 1001.1,750551511.1 X . S57 11 BOILER/REFRIGERATION +175oM BTU ' X B95 l CAS G,GAS INSERT,Gas FIREPLACE - MANI X $ J DRYER SIO S10 El FUEL BURNING WATER HEATER 1111.1 ) • SIO ,:' d MISC FUEL BURNWG APDL. 110 m GAS PIPING(e:OuWq .. 0 . : DUCFSY$TEM5ME S10 VENTILATING FANS - x-i' $30 AIR MANDL€R(DOES NOT indud•ducting) •OR a 1Q000CFM 512 - 111111111111111111 AIR HANDLER(DOES NOT Include during) >10A00 CFM X El RVAPDRATSVE C QOGEEts - X E1111111111t ©TYPE!Hoop _ - X $50 T 11 HOOD_ .. X 510 BM HEAT PUI�/AIR CONDEMNER 0-3 i S X � AD( NDrrIo . CoNER 3•IS TON X S20 - AIR CONDITIONER15.307t>k • YPE AIR CONDITIONER 3650 TON IIIIINIHIIE 29 AIRCONDITTONER +SOTON SEA 30 LPG=RACE TANK - SD El WOOD OR PELLETSTOVEIWSERT - Mi. x . M— 32 WOOD STOVE.FREESTANDING .. MUMMI SO SUBTOTAL• ' METHOD OP PAYMENT PLUS PROCESSING PEE $35.00 .'. ....i .:,:._r's]it+ TOTAL PERMIT FEE DU ❑ CASH ❑ CHECx © © t` DOE•— DATE: _ EXPIRES: — BANKCARD NUMBED . AUTHORIZED SIGNATURE: • SO'SO'd P6089Z6 01 ad TO:LT £00Z @Z d3S r 11707 East Sprague Avenue,Suite 106 509-688-0036.-Phone' Spokane Valley,WA 99206 . 509-688-0037-Fax 400001.ValleY ' Plumbing Permit Application PROJECT' PERMIT ADDRESS: USE: OWNER �—' PHONE(Daytime Contact): MAILING ADDRESS: "— - -- -, LamtiPmnl,�ra rnnicIJtggII1N - (street) 15VGRh1 E.MIS Sr S WALgr£tate) (�,) 7 CONTRACTOR: (509)924-8964 LICENSE 8: MAILING ADDRESS: r c �^ PHONE is DIPNrn;,!DROCF CONSTRUCTION 1`321 E.MISS1A AVE- _ _ VERADALE.SVA 99037 (509)924-8964 (street) (city/state) (Z)P)• PLUMB/NG FIXTURES DESCRIPTION --.— i_DEETAn s..` OF UNITS I COST EQUALS AMOUN,TN 1 1 TOILETS WATER CLOSET BIDETS —.��1 X $6 _ 2 URINALS X 3 TUBS - - . X $6 • 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 4 ----- X 5 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, '- ' LAUNDRY,UTILITY,JANITOR,PHOTO,X- f X . ' S6 - RAY,FOOD:PREP/C JUNARY/MRAT -i - 6 DISHWASHER r X 7 CLOTHES WASHER -2 X $6 �- 8 GARBAGE DISPOSAL — x $6 - 9 WATER SOFTENER _-. X $6 • 16 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL, -, _ X $6 III FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 ' - 12 FOUNTAINS,DRINKING ' X $6 --_ 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, , WASTE VENT,PLUMBING REVERSALS X $6 - REVERSAL 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - IS WATUSING DEVICE ICE AND/OR COFFEE MAKER HOSE BIB, ..-,--- - ER STEAMER,TROOPER,CARDONATOR, X $6 . . SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND •x R.P.BP.D.FOR:VATS,TANKS,BOILERS 17 SPRAIKLER SYSTEM _ - X $25 - 18 INTERCEPTORS ' MIASMA?,SAND TRAP,CHEMICAL • HOLDING TANK X 19`MEDICAL GAS per outlet NITROUS,OXYGEN X $6 • 20 MISC PLUMBING FDCI URE X $6 = SUBTOTAL• HOD OF PAYMENT moor y'SH ❑ CH CK ❑ ■O-_I 0leitor, + PLUS PROCESSING TEE: $3S.00 TOTAL PERMIT FEE DUE: EXPIRES: :GILD N UMBER: - ORIZED SIGNATURE- SO/VO'cl IGNATURE:SO/VO'd t6089E6 01 ?id TO:LT @@Z @Z d9S 6 g 0 '-ht e 0?I -+tgq l •+J-Sq l c+ IN zip/ C /!$3f 1_N 0 V)I ,.(A /034dt0 33 I y /0 3/ A. ,? ;; b /09 7 /'_.>,?c J -63'— , S. u.�h.�vtrSt .zoeilv' .1i3- S' UvPrsiT, r S. ciniversiri-v r l f 1 "ZIJ� z . o — a ` i- So'—f-3c;'-' N 1 N --- - -- } ` -1_010 .7 •_i_J t_n I 11 CAI 1--,/,- A r, —,,, e ess 7, t . -45161 - - 7. APPROVED B lC - 90 ez,-Q_ -(Q,,,,_ _ boaste (C