2012, 05-04 Permit App BLD-2012-0568 Mech & Plumbing Fixtures�t e��
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11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
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PERMIT NUMBER:
PERMIT FEE:
Community Development
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Contractor
City: 5A KAn/l- VAC LLQ/ Ste:Vv ZiP: r 9 Z/ 6
Plumbing Permit Application
El Commercial El Residential
SITE ADDRESS:
City: State: Zip:
License No:
BuildiugOner VA N f trZ G-0
LPC tw
Name:PAN/LL &oL-Q6(L¢!j�
Phone: 5091 - 927 -337Z Fu:
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Contractor
City: 5A KAn/l- VAC LLQ/ Ste:Vv ZiP: r 9 Z/ 6
Name: Q WN Lrk
Phone: Fax:
Address:
City: State: Zip:
License No:
City Business Lin:
Coutact/Project Manager:
Name:
Phone:
ATMOSPHERIC TYPE VACUUM BREAKER
❑CASH ❑ CHECK ❑ VISA El MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http:dwww.spokanevallev ora/ under the quick links for Forms,
UNITS
RECEIVED
CSV PERMIT CENTER
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`a 11703 E Sprague Ave, Suite B-3
#UNITS
Spokane Valley, WA 99206
U to & inctudin 100 000 BTU
PERMIT NUMBER:
Over 100,000 BTU
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V71 ky . (509)688-0036 FAX: (509)688-0037
PERjyjjT FEE:
03 TON
Community Development Dermitceatmfa)sookanevallry.org
Over 3-15 TON
AIR CONDITIONER
Over 1530 TON
AIR CONDITIONER
Mechanical Permit Application
❑ Commercial ❑ Residential
SITE ADDRESS:
GAS WATER HEATER
Building Owner pAM I E L o L p QstB
Name: DAM/(: L GvL DGR.Y/i Phone: 5d 9.9 27 —V3 72—Fu:
Address: 12 n 3 P L--5 M C7 A v %F- City: 5P oIL4 &IVr VA,t.V-?Ialc: wq Zip: 9 2 l b
Contractor dt�h�r
Name: Phone: Fax:
Address: City. State: Zip:
License No: City Business Lic:
ContactTroject Manager:
Nme: Phone:
OCASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES: rUzutIVtD
SIGNATURE CSV PERMIT CENTER
Froiecl # Y � z z012
- -s6 S
Neale
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
U to & inctudin 100 000 BTU
FURNACES & SUSPENDED HFATERS-INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER
03 TON
AIR CONDITIONER
Over 3-15 TON
AIR CONDITIONER
Over 1530 TON
AIR CONDITIONER
Cver 30-50 TON
AIR CONDITIONER
Over 50 TON
GAS WATER HEATER
GAS PIPING SYSTEM each outi
GAS LOG FIREPLAC &GAS INSERT
APPDANCE VENTS INSTALLATION RELOCATION REPLACEMENT
REPAIRS OR ADDITIONS
BOILE COMPRESSORS ABSORPTIONS SYSTEM
0 to 3 h 100 000 BTU or less
BOILE COMPRESSORS ABSORPTIONS SYSTEM
Over 3 - 15 h —100 001 to 500 000 BTU
BOILER COMPRESSORS ABSORPTIONS SYSTEM
Over 15 — 30 h - 500 001 to 1 000 000 BTU
BOILER COMPRESSORS ABSORPTIONS SYSTEM
Over 30 h —1000 001 to 1 750 000 BTU
BOILER COMPRESSORS ABSORPTIONS SYSTEM
Over 50 h —over 1 750 000 BTU
AIR HANDLER DOES NOT Include ducOn
Each unit u to 10 000 Gm, includin ducts
AIR HANDLER DOES NOT include ducts
Each unit over 10,000 cfm
EVAPORATIVE COOLERS other than portables
VENTILATION AND EXHAUST
Each fan connected to a si educt
VENTILATION AND EXHAUST
Each ventilation s tem
VENTILATION AND EXHAUST
Each hood served mechanical exhaust
INCINERATORS
Installation or relocation of residential
INCINERATORS
Installation or relocation of commensal
APPLIANCES
Ra a Clothes Washer
UNLISTED APPLIANCES
Under 400 000 BTU
UNLISTED APPLIANCES
Over 400 000 BTU
HOOD
T I
HOOD
T ell
L P STORAGE TANK
WOOD OR PELLET STOVE INSERT
WOOD STOVE SYSTEM — FREE STANDING
OCASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES: rUzutIVtD
SIGNATURE CSV PERMIT CENTER
Froiecl # Y � z z012
- -s6 S
Neale