Permit App: BD-03-714 Mechanical AppSfacnre NI*I"`
Mechanical Permit Application
11707 East Sprague Avenue, Suite 106 509 - 688 -0036 - Phone
Spokane Valley, WA 99206 509 - 688 -0037 - Fax
For Inspections, call 509 - 688 -0054
PROJECT
p 03 71 i__
ADDRESS: + (.3 („ -16e,
OWNER: B a t„
1 1.4":t'"\ I ,
5t e phE. (t-E/1 eve/ O; G h l Is
MAILING ADDRESS:
PHONE (Daytime Contact):
GAS
ET e.ci 1 d ; .,-. c9 -reEn rff -1 (-4-4 1 a I (--)
(street) (city /state)
CONTRACTOR:
(ZIP)
MAILING ADDRESS:
LICENSE #:
PHONE #:
(street)
(city /state)
(ZIP)
METHOD OF PA
❑ CASH ❑ C
DATE:
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
A
DESCRIPTION OF WORK
# OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
• OR < 100,000
X
515
-
2
FUEL BURNING APPLIANCE
> 100,000
X
519
.
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
5100
-
7
BOILER/REFRIGERATION
1 - 100M BTU
X
515
-
8
BOILER/REFRIGERATION
101 - 500M BTU
X
528
-
9
BOILER/REFRIGERATION
501- 1,000M BTU
X
$39
.
10
BOILER/REFRIGERATION
1001 - 1,750M BTU
X
557
11
BOILER/REFRIGERATION
+1750M BTU
X
$95
-
12
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
510
0
13
RANGE
-
X
$10
=
14
DRYER
-
X
510
-
15
FUEL BURNING WATER HEATER
-
X
510
-
16
MISC FUEL BURNINGAPPL.
-
X
510
.
17
GAS PIPING (ea. Outlet)
-
X
51
-
18
DUCT SYSTEMS
-
X
510
-
19
VENTILATING FANS
-
X
810
-
20
AIR HANDLER (DOES NOT include ducting)
• OR < 10,000CFM
X
512
21
AIR HANDLER (DOES NOT include ducting)
> 10,000 CFM
X
519
-
22
EVAPORATIVE COOLERS
-
X
510
-
23
TYPE I HOOD
-
X
550
-
24
TYPE II HOOD
-
X
510
•
25
HEAT PUMP /AIR CONDITIONER
0-3 TON
X
512
•
26
AIR CONDITIONER
3-15 TON
X
S20
-
27
AIR CONDITIONER
15-30 TON
X
525
-
28
AIR CONDITIONER
30-50 TON
X
$35
-
29
AIR CONDITIONER
+50 TON
X
560
.
30
LPG STORAGE TANK
-
X
510
-
31
WOOD OR PELLET STOVE/INSERT
-
1
X
510
•
32
WOOD STOVE - FREE STANDING
-
X
525
-
KENT
MEM
VISA ti?"35fS:
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
DATE:
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
A
FIOD OF
SSH
U'tY cx' ��
Spok.ne
,, 0 Valley
Plumbing Permit Application
11707 East Sprague Avenue, Suite 106 509 - 688 -0036 - Phone
Spokane Valley, WA 99206 509- 688 -0037 - Fax
For Inspections, call 509 - 688 -0054
PROJECT
ADDRESS:
DESCRIPTION
PERMIT
USE:
# OF LINTTS
OWNER:
COST
PHONE (Daytime Contact):
AMOUNT
MAILING ADDRESS:
TOILETS
WATER CLOSET, BIDETS
(street)
(city /state) (ZIP)
$6
CONTRACTOR:
LICENSE #:
URINALS
MAILING ADDRESS:
PHONE #:
$6
-
(street)
(city /state) (ZIP)
'
PLUMBING FIXTURES
:CARD NUMBER:
ORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF LINTTS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6
-
2
URINALS
X
$6
-
3
TUBS
X
$b
-
4
SHOWERS (PER TRAP)
BATH, STALL, ON -SITE BUILT
X
$6
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP /CULINARY/MEAT
X
$6
a
•
6
DISHWASHER
X
$6
7
CLOTHES WASHER
X
$6
-
8
GARBAGE DISPOSAL
X
$6
-
9
WATER SO/, 1I:NER
X
$6
-
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6
-
11
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
-
14
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
''
17
SPRINKLER SYSTEM
X
$25
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
-
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
20
MISC. PLUMBING FIXTURE
X
$6
-
PAYMENT
CHECK
i '_::
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
• igiagari •
TOTAL PERMIT FEE DUE:
:CARD NUMBER:
ORIZED SIGNATURE: