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2003, 10-24 Permit App BLD-03-02882 Fireplacecart < +lane Valley Mechanical Permit Application c Spokane Valley, WA 99206 11707 East Sp -ague Avenue, Suite 106 509-688-0036 - Phone 509-688-0037 - Fax 3 Pg&2 PROJECT ADDRESS:/ 7 `/ (., C : / 4 G,/1 PERMIT USE: OWNER: % N J./ ( /ic /n.. / ( ( PHONE (Daytime Contact): I(? ? -- �/ / l �/ `73 MAILING ADDRESS: •• / `17�i c� ! I (A rye 1 �/e;-�8(Ak �! 9/131 (street) (city/state) (ZIP) CONTRACTOR: • LICENSE #: MAILING ADDRESS: • - • . PHONE #: (street) . (city/state) (ZIP) METHOD OP PA ❑ CASH ❑ DESCRIPTION OF WORK 6 OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE . - OR <100,000 X ' $15 - 2 FUEL BURNING APPLIANCE > 100,000 X ' $19 - 3 UNLISTED APPLIANCE (ADDITIONAL FEE) - OR <400,000 X 550 - 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X $100 - 5 USED APPLIANCE (WSEC min. AFUE rating) - or <400,000 X. , $50 - 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X $100 - 7 BOILER/REFRIGERATION 1-100M BTU X $15 - 8 BOILER/REFRIGERATION 101- 500M BTU X $28 - 9 BOILER/REFRIGERATION 501-1,000M BTU X $39 - 10 BOILER/REFRIGERATION 1001 - 1,750M SW X . 557 - BOILER/REFRIGERATION +1750M BTU X $95 - 12) GAS LOG, GAS INSERT, GAS FIREPLACE - X $10 - 13 RANGE - X $10 - 14 DRYER - X $10 - 15 FUEL BURNING WATER HEATER - - X $10 - 16 MISC. FUEL BURNING_APPL. - _ X - $10 .. ... . . _ .. .. _.. _ . (17 G GAS PIPING (ea. Outlet) - j X $1 18 DUCT SYSTEMS - X $10 - 19 VENTILATING FANS - X $10 - 20 AIR HANDLER (DOES NOT include ducting) - OR < 10,000CFM X $12 - 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X $19 - 22 E EVAPORATIVE COOLERS - X $10 - 23 TYPE I HOOD - X $50 - 24 TYPE II HOOD - X $10 - 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 - 26 AIRCONDITION£R 3-15TON X $20 - 27 AIR CONDmONER 15-30 TON X $25 - 28 AIR CONDITIONER 30-50 TON X $35 - 29 AIR CONDITIONER +50 TON X $60 - • 30 LPG STORAGE TANK - X $10 - 31 WOOD OR PELLET STOVE/INSERT - X • $10 - 32 WOOD STOVE - FREE STANDING - X $25 - • VIENT _ TM y SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE !. j DATE: EXPIRES: BANKCAItD NUMBER: AUTHORIZED SIGNATURE: ETHOD 0 J CASH Spokane .,0Valley Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036'- Phone Spokane Valley, WA 99206 509-688-0037 - Fax ADDRESS: '// C) f C1 l_ /J/ �' , L/1 USE:PERMIT . OWNER [ 1 r1/1/ / //1/ L L K n n / PHONE (Daytime Contact): 5-0 7 7? 3 7 7 `7j MAILING ADDRESS: i t/ 70 `/ C (a / 1e Gn Vw (A41. 9 `l 0 3 7 (street) / (dty/state) ' (ZIP) CONTRACTOR LICENSE #: MAILING ADDRESS: PHONE #: (street) (city/state) (ZIP) ' PLUMBING FIXTURES DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6 - 2 URINALS X $6 - 3 TUBS X $6 - 4 SHOWERS (PER TRAP) BATH, STALL, ON -SITE BUILT X $6 5 SINKS ' LAVSBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD; PREP/CULINARY/MEAT X ' $6 - 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X $6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 - II FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6 - 12 FOUNTAINS, DRINKING -'- . . X ...__ $6 _ 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR,• REVERSALS X $6 - I4 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER. PROOFER, CARBONATOR, SWAMP COOLER X . $6 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6 - 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT ] CHECK otres.�•- : _ _. _ SUBTOTAL: PLUS PROCESSING FEE: $35.00 • EMBRIN ■ TOTAL PERMIT FEE DUE: ATE: NNKCARD NUMBER JTHORIZED SIGNATURE: