2006, 06-16 Permit Application: 06002346 ReversalPermit Center
Sp ° e ® 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
Community Development w 'snokanevallev.ore
Plumbing Permit Application
Valley
PERMIT NUMBER:
PERMIT FEE: 4
H Commercial ❑ Residential
SITE ADDRESS:
Building Owne tv vi S 4 .
Name:
Phone:
Fax:
Address: /0 EA I
1
City.
State:
Zip:
Contractor°, r - i
u�
� .
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
TOILETS
WATER CLOSET, BIDETS
# OF UNITS
x
COST
TOTAL AMOUNT
x
$6.0D
2
URINALS
x
$6.00
3
TUBS
x
$6.0D
4
5
6
SHOWERS ER TRAP
SINKS
DISHWASHER
7
CLOTHES WASHER
BATH, STALL ON-SITE BUILT
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
x
$6.00
$6.00
x
$6.OD
x
$6.00
8
GARBAGE DISPOSAL
x
$6.00
9
WATER SOFTENER
x
$6.OD
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
x
$6. DD
11
FLOOR DRAINS
AREA, CASE, COIL TRENCH,
CONDENSATE
x
$6.0D
12
ROOF DRAINS /OVERFLOW DRAINS
$6.00
13
FOUNTAINS, DRINKING
x
$6.00
14
WATER PIPING/DRAIN -IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
1
x
56.00
15
16
17
SEWAGE EJECTOR
WATER USING DEVICE
CROSS CONNECTION DEVICE
GRINDER, SUMP PUMP
ICE AN /OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER,CARBONATOR,SWAMP
COOLER
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR VATS, TANKS,
BOILERS
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6.00
0 0
$6.00
x
$6.0D
$6.00
19
MEDICAL GAS per outlet)
NITROUS, OXYGEN
x
56.00
20
MISCELLANEOUS PLUMBING FIXTURE
x
56.00
21
PRIVATE SEWAGE DISPOSAUSYS
x
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
METHOD OF PAYMENT:
DCASH ❑ CHECK ❑ VISA 0 MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8126/05
EXPIRES:
VIN:
x
$15.00
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
535.00
Valley
Community Development
Mechanical Permit
fermit center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
www. spokanevaile v.ora
Application
PERMIT NUMBER:
PERMIT FEE:
Commercial n Residential
SITE ADDRESS:
Building Owner
Name: Phone: Fax:
Address: City. State: Zip:
Contractor ;
Name: Phone: Fax:
Address: City. State: Zip:
License No: City Business Lic:
Contact
Name:. Phone:
DESCRIPTION OF WORK
St OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or Tess than 100,000
X
$12.00
=
2
FUEL BURNING APPLIANCE
More than 100,000
X
$15.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
$50.00
=
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
$100.00
=
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
$100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$12.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.0D
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
=
10
BOILER/REFRIGERATION
1,001 - 1,75DM BTU
X
$35.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
=
13
RANGE
X
$10.00
=
14
DRYER
X
$10.00
=
15
FUEL BURNING WATER HEATER
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
X
$1.0D
=
18
DUCT SYSTEMS
X
$10.OD
=
19
VENTILATING FANS
X
$10.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
$15.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE II HOOD
X
$10.00
=
25
HEAT PUMP /AIR CONDITIONER
0 -3 TON
X
512.00
=
26
AIR CONDITIONER
3-15 TON
X
520.00
=
27
AIR CONDITIONER
15-30 TON
X
$25.00
=
28
AIR CONDITIONER
30-50 TON
X
535.00
=
29
AIR CONDITIONER
More than 50 TON
X
560.00
=
3D
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE/INSERT
X
$10.D0
=
32
WOOD STOVE - FREE STANDING
X
$25.00
=
33
REPAIR & ADDITIONS
X
515.00
=
34
VENTILATION SYSTEMS
X
512.00
=
35
VENTILATION MECHANICAL EXHAUST
X
512.00
=
36
INCINERATOR - RESIDENCE
X
$19.00
=
37
INCINERATOR - COMMERCIAL
X
$22.00
=
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
SUBTOTAL
EXPIRES:
PROCESSING FEE
535.00
VIN:
TOTAL PERMIT FEE DUE:
ATURE:
REVISED S/26105