2006, 02-15 Permit App: 06000467 Mechanical, Plumbing FixturesStri one
11707E Sprague Ave, Suite 106
Valley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.sookancvallev.ora.cont
..Plumbing Permit Application ❑ Commercial
PERMIT NUMBER:.r,�j �.
PERMIT FEE: 1 I co
Residential
SITE ADDRESS: / 9 0/4c? b 0 o r a--
BuildOg owner
NomD
: etviS Noble-
Phone:.i 34— gS 5f
Fax:
Address: ,csl0 2-- �. E' S/'h e't"
Contractor . .
city.Spakaa Vii state: p jt zip: (l 'li-IZ
Name:
Phone:
Fax:
Address:
City :
State:
Zip:
License No:
City Business License No:
Conta��":
Name:
Phone:
AUTHORIZED SIGNATURE:
REVISED 1)2605
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET. BIDETS
X
$6.00
=
2
URINALS
X
$6.00
3
TUBS
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL ON-SITE BUILT
/
X
$6.00
=
5
SINKS
LAVSBASINS, BAR FLOG ITCHEN2 •
F
1
X
$6.00
=
LAUNDRY, LJTILI Y, JANITO OTO,
X-RAY, FOOD, PREP/CULINARY MEAT
6
DISHWASHER
(
X
$6.00
=
7
CLOTHES WASHER
I
X
$6.00
6
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
$8.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR
REVERSALS
p
J—
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.DD
=
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:
0 CASH • 0 CHECK
Card#
SUBTOTAL
❑ VISA 0 MASTERCARD
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 1)2605
4Jpoxanee' -iv,t Sprague ANC, Suite I UD
alley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037 PERMIT FEE:
Community Development wuvt400kanevallev.ore.conl 115 L ` �%
Mechanical Permit Application ❑ Commercial ® Residential
PERMIT NUMBER: • 1IL��
SITE ADDRESS: / 8 0 / 0 E; 3 3 0 7
Building owner -- - -
J
Name: D of V i d N Old €- Phone: 93 V- -5 C g Far •
Address:.i ct a •� e I D es nl e t A v, citrp ukev, t V/1y State: W A Zip: 9 T z- i z
:Contractor .. .. ... .:... .. .._.:. ,... . '. ..
Name: Phone: Far
Address: - City: State: Zip:
License No: City Business License No:
Contact � ... � � � ;. _.. �. ... � _�.:�:. .,-; -. .... .:.I. `�
Name: Phone:
/\
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE `r p (T-
Equal to or less 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
$20.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00
=
10
BOILERREFRIGERATION
1,001 •1,750M 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
r
X
$10.00
=
14
DRYER
t
X
$10.00
=
15
FUEL BURNING WATER HEATER
X
$10.00
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet) L- P (r
/. 44
X
$1.00
=
18
DUCT SYSTEMS
X
$10.00
=
19
VENTILATING FANS
2..
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
l-
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
1530 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
I
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
a
35
VENTILATION MECHANICAL EXHAUST -
i
X
$12.00
=
36
INCINERATOR -RESIDENCE
X
$19.00
=
37
INCINERATOR -COMMERCIAL -
X
$22.00
=
METHOD OF PAYMENT:
❑CASH 0 CHECK ❑ VISA ❑ MC
CARD #:
SUBTOTAL
DATE:
PROCESSING FEE
$35.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 2/26.05