2006, 11-08 Permit App: 06004460 Gas PipingPermit Center
Sp 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -003
Community Development www.spokanevallev.ore
Mechanical Permit Application
"'ol�ane
.,00 Valley
SITE ADDRESS:
�) 7 /,2 c A/
ECIEHW
NOV 0
T ommercial f n Fe ential
PERMIT NUMBER: /yam G�
PERMIT FEE:
Building Owner
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Name:
i-
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--c9.? P3 --Fax:
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Address:
2 r
City: „ ,
C/e,4 State:
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Zip:
-7
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Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
1
2
3
4
5
6
7
DESCRIPTION OF WORK
# OF UNIT
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or less than 100,000
More than 100,000
X
$12.00
X
$15.00
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
More than 400,000
X
$50.00
X
$100.00
USED APPLIANCE (WSEC min. AFUE rating)
10
11
12
13
14
15
16
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
Equal to or less than 400,000
More than 400,000
X
$50.00
X
$100.00
1 - 100M BTU
X
$12.00
BOILER/REFRIGERATION
101 - 500M BTU
X
$20.00
BOILER/REFRIGERATION
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
1,001 - 1,750M BTU
X
$35.00
BOILER/REFRIGERATION
More than 1,750M BTU
X
$60.00
GAS LOG, GAS INSERT, GAS FIREPLACE
RANGE
DRYER
X
$10.00
X
$10.00
X
$10.00
FUEL BURNING WATER HEATER
X
$10.00
17
18
MISC. FUEL BURNING APPLIANCE
GAS PIPING (each outlet)
DUCT SYSTEMS
X
$10.00
X
$1.00
X
$10.00
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
$12.00
26
AIR CONDITIONER
3 -15 TON
X
$20.00
27
AIR CONDITIONER
15 -30 TON
X
$25.00
28
AIR CONDITIONER
30 -50 TON
X
$35.00
29
AIR CONDITIONER
More than 50 TON
X
$60.00
30
LPG STORAGE TANK
X
$10.00
31
WOOD OR PELLET STOVE /INSERT
X
$10.00
32
WOOD STOVE - FREE STANDING
X
$25.00
33
REPAIR & ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR - RESIDENCE
X
$19.00
37
INCINERATOR - COMMERCIAL
X
$22.00
METHOD OF PAYMENT:
['CASH 1:1 CHECK [11 VISA 12 EXPIRES.
CARD #: VIN%
AUTHORIZED SIGNATURE: Gt;J ) - jt2 C�"
REVISED 8/26/05
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Permit Center
Spokane 11707 E Sprague Ave, Suite 106
��\/alley Spokane Valley, FAX: (509)
(509)688 -0036 FAX: (509)688 -0037
Community Development www.spokanevallev.ore
Plumbing Permit Application
SITE ADDRESS:
1 Commercial
PERMIT NUMBER:
PERMIT FEE:
1 Residential
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:
1
2
3
4
5
DESCRIPTION OF WORK
TOILETS
# OF UNITS
X
COST
TOTAL AMOUNT
WATER CLOSET, BIDETS
X
$6.00
URINALS
TUBS
X
$6.00
X
$6.00
SHOWERS (PER TRAP)
SINKS
BATH, STALL, ON -SITE BUILT
X
$6.00
LAVS /BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X -RAY, FOOD, PREP /CULINARY MEAT
X
$6.00
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
X
$6.00
8
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
$6.00
13
FOUNTAINS, DRINKING
X
$6.00
14
WATER PIPING /DRAIN -IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, 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
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.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
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05