No Date, Permit App: BD-03-473 Plumbing FixturesMETHOD 0
0 CASH
DATE
Spokane
jValley
Plumbing Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA -99206 509-688-0037 - Fax
For Inpections, call 509-688-0054
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PROJECT ' / "p,,�.�.�n
ADDRESS: gel I l F /c.JI JV / _
PERMIT
USE:
DETAILS
OWNER: .L s , .,O 1 l Jin / „pi -
/l / ` �
PHONE (Daytime Contact): r? -7 C/ - 3 5-C
7 /7` !
MAILING
MAILING ADDRESS:.
EQUALS
;.0
iitLyMtate 17 Jo CO (ZIP)
1
CON R ` ',
p 4I • pfxi m
it
LICENSE p:
r
1
DRESS/ `
0 WC( C=5-%,�i 5 5"fieha
PHONE#:
-
.e /1/J
79087
(street) (city/state) (ZIP)
PLUMBING FIXTURES
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OFUNITSAMOUNT
X
COST
EQUALS
1
TOILETS
WATER CLOSET, BIDETS
r
1
X
$6
-
r 0
2
URINALS
X
$6
-
3
TUBS
X
$6
-
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
JX
$6
-
l.('
Le ^
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
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6
-
12
FOUNTAINS, DRINKING
X
$6
-
13
WATER PIPING/DRAIN-IN /
WASTE, VENT, PLUMBING (
REVERSAL
D"9T&LLATION, ALTERATION, REPAIR,
/
X
$6-
Le
RVERS
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
$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
] CI
• .
y/yq
..;..
� Masttrrad
_..... . _
— 5"-''
SUBTOTAL:
N.00
PLUS PROCESSING FEE:
$35.00
-NECK • ❑
TOTAL PERMIT FEE DUE:
53 0 "0
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Slio'kanka' e\41,'
.o#Valley
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
ADDRESS:
DESCRIPTION OF WORK
PERMIT
USE:
OWNER:
X
PHONE (Daytime Contact):
MAILING ADDRESS:
AMOUNT
(street)
(city/state) (ZIP)
CONTRACTOR:
LICENSE I:
MAILING ADDRESS:
-
PHONE #:
2
(street)
(city/state) (ZIP)
METHOD OF PA
❑ CASH ❑ C
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
a 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 (ADDMONAL FEE)
• OR <400,000
X
$50
-
4
UNLISTED APPLIANCE (ADDMONAL FEE)
> 400,000
X
$100
•
5
USED APPLIANCE (WSEC min. AFUE rating)
• or < 4W,000
X
$50
6
USED APPLIANCE (WSEC min. AFUE rating)
> 400,000
X
$100-
7
BOILER/REFRIGERATION
1 - 100M BTU
X
$15
B
BOILER/REFRIGERATION
101 - 500M BTU
X
$28
-
9
BOILER/REFRIGERATION
501- LODOM BTU
X
$39
-
10
BOILER/REFRIGERATION
1001- 1,750M BTU
X
$57
•
11
BOILER/REFRIGERATION
41750M 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
GAS PIPING(ea. Outlet)
-
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
EVAPORATIVE COOLERS
-
X
$10
23
TYPE I HOOD
-
X
$50
-
24
TYPE I HOOD
-
X
$10
•
25
HEAT PUMP/AIRCONDITIONER
0-3 TON
X
$12
-
26
AIR CONDITIONER
3-15 TON
X
$20
-
27
AIR CONDITIONER
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 PELLETSTOVE/INSERT
-
X
$10
-
32
WOOD STOVE - FREESTANDING
-
X
$25
-
YIENT
VISA' Ik' - t ;
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: