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2004, 09-13 Permit Application: BLD-04-07643 Plumbing Fixtures
j �. PLUMBING PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688 -0036; Fax: (509) 688 -0037 FOR INSPECTIONS, CALL (509) 688 -0054 r�z �, u96R` Permit Use: ;LLD ©y �? /?) Project Address: I 7co6,G/ k Owner: �gG-o > hee,l ✓ Mailing Address: 1 6-14 trey i,ocu•� 9420 04,0 L/4l (v�• ,(� `�`� O ,J City State Zip Code Phone (Daytime Contact): Contractor: License #: Mailing Address: Phone #: City State Zip Code BANKCARD NUMBER: AUTHORIZED SIGNATURE: — 01 C.o — DESCRIPTION OF WORK # OF — UNITS X ' COST TOTAL I AMOUNT 1 TOILETS WATER CLOSET, BIDETS ! 1 X $6.00 = (9-00 2 URINALS X $6.00 3 TUBS r f X $6.00 = & 11, C 4 SHOWERS PER TRAP) BATH, STALL, ON-SITE BUILT X $6.00 5 SINKS LAVS1BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, 1 X JANITOR, PHOTO, X -RAY, FOOD, ! PREP /CULINARY/MEAT $6.00 = r^ D l/ 6 DISHWASHER X 56.00 7 CLOTHES WASHER X $6.00 = B GARBAGE DISPOSAL X $6.00 = , 9 WATER SOFTENER X $6.00 = . 10 ELECTRIC HOT WATER TANK NOTE IF GAS, SEE MECHANICAL X $6.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 = 12 ROOF DRAINS /OVERFLOW DRAINS X 56.00 I = 13 FOUNTAINS, DRINKING X $6.00 = 14 WATER PIPING/DRAIN -IN WASTE, VENT, PLUMBING, REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6.00 = 16 WATER USING DEVICE ICE AN /OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X ` $6.00 = k 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND RP.B.P.D. FOR VATS, TANKS, BOILERS X $6.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X ` $6.00 =,` METHOD OF PAYMENT: ❑ CASH O CHECK ❑ VISA 0 MASTERCARD SUBTOTAL �/ O PROCESSING FEE - � 7 R ,9S- SD DATE: EXPIRES: TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: — 01 C.o — MECHANICAL PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688 -0036; Fax: (509) 688 -0037 FOR INSPECTIONS, . CALL (509) 688 -0054 Project Address: Permit Use: Owner: Phone (Daytime Contact): Mailing Address: City State Zip Code License #: Phone #: Contractor: Mai ing Address: Di AUTHORIZED SIGNATURE: Zip Code DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X 015.00 = 2 FUEL BURNING APPLIA■CE Mare than 100,000 X $15.00 = 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X 050.00 = 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 $15.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $26.00 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $39.00 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $57.00 = it BOILER/REFRIGERATION More than 1,750M BTU X $95.00 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 = 13 RANGE X 010.00 14 DRYER X 010.00 = 15 FUEL BURNING WATER HEATER X 010.00 = 16 MISC. FUEL BURNING APPLANCE X $10.00 = 17 GAS PIPING (each outlet) X $1.00 = 18 DUCT SYSTEMS X 010.00 19 VENTILATING FANS X $10.00 = 20 AIR HANDLER (DOES NOT include ducting) Equal to or Tess than 10,000 CFM X $12.00 = 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X 019.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X 050.00 = 24 TYPE II HOOD X $10.00 = 25 HEAT PUMPfAIR CONDITIONER 03 TON X 012.00 = 26 AIR CONDITIONER 3 -15 TON X 020.00 = 27 AIR CONDITIONER 15-30 TON X $25.00 = t 28 AIR CONDITIONER E 30 -50 TON X $35.00 = 29 ' AIR CONDITIONER More Than 50 TON X $60.00 = 30 c LPG STORAGE TANK X $10.00 = - 31 WOOD OR PELLET STOVE/INSERT X 010.00 = 32 c WOOD STOVE - FREE STANDING X $25.00 = METHOD OF PAYMENT: D CASH ❑ CHECK ❑ VISA 0 MC CARD #: DATE: SUBTOTAL PROCESSING FEE 035.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: Zip Code