2004, 10-21 Permit App: BLD-04-07991 Hot Water Tank•1".„
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Iley
PLUMBING PERMIT APPLICATION
City of Spokane Vafley Community Development Department
SuiidngDivision
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: 11 Permit Use:
Owner: i 71/if ) L$ Phone (Daytime Contact):
a k vdel tA./ /-7 2O
City State Zip Code
Contractor: License #: Phone #: 53y- (1Gy.'
Mailing Address:
Mailing Address: /
2 3A
City
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
If OF
UNITS
TOTAL
X COST - 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, ONSITE BUILT
5
SINKS
LAVSIBASINS, BAR, FLOOR.
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
$6.00
6
DISHWASHER
$6.00
7
CLOTHES WASHER
X $6.00
=
6
GARBAGE DISPOSAL
X $6.00
9WATER
SOFTENER
$6.00
1�
ELECTRIC HOT WATER TANK
NOTE IF GAS; SEE MECHANICAL
/
X $8.00
=
Ilifilill
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X $6.00 II
12
ROOF DRAINS/OVERFLOW DRAINS
X $6.00"
13
FOUNTAINS, DRINKING
• "
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
INSTALLATION, ALTERATION,
REPAIR, REVERSALS
X $6.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X 66.00 111
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER
HOSE BIB, STEAMER, PROOFER,
CARBONATOR. SWAMP COOLER
• ''
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER CHECK '
VALVE, ANDRP.B.P.D. FOR
•
VATS, TANKS, BOILERS
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
I
19
MEDICAL GAS iper outlet)
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
56.00
=
•
METHOD OF PAYMENT:
SUBTOTAL
0 CASHCHECK 0 VISA 0 MASTERCARD
PROCESSING FEE
$35.00
DATE EXPIRES:
TOTAL PERMIT FEE FLUE:
' pd
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
(yip � MECHANICAL PERMIT APPLICATION%
'n[Z City of Spokane Valley Comrnunity Development Department
j� �� a ue, uiti06
1 t707_E Sprague Avenue, Suite 106
Phone: (509)688-0036; ax Valley,(609) 888--0037
FOR INSPECTIONS,.CALL(509) 688-0054
Project Address: • Permit Use:
Owner.. Phone(Daytime Contact): .
'•Mailing Address:
City • State . Zip Code
Contractor: License#: Phone#:
Mailing Address:
City State• .Zip Code
SOF TOTAL
DESCRIPTION OF WORK - _ UNITS X COST AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $15.00
-_ ' IPFUEtBt1RNWGRPPLIA '.re i . ..,.M1. X 514.00 = .
3 UNLISTED APPLIANCE(Addifiorel Fee) Equal to or less than 4001100 X $50.00
4 UNLISTED APPLIANCE(Additional Fee) - More than 400,000 -X $100.00
USED APPLIANCE(WSEC min.AFUE .
5 ring) Equal to or fess than 400.000 • X $50.00
USED APPDANCE(WSEC min AFUE
6 rating) More than400,000 X $100.00
7 BORER/REFRIGERATION - 1-1130M BTU • X $15.00
8 BOILER/REFRIGERAT)ON • 101-500M BTU _X $28.00 = •
9 BOILER/REFRIGERATION 501-1,000M BTU X $39.00 = /
_10 BOILER:REFRIGERATION 1,001-1,750M BTU X $57.00 =
It BOILERIREFRIGERATION • More than 1,750M BTU X $95.00 =
12 GAS LOG,GAS INSERT,GAS FIREPLACE _ • X $10.00 =
13 RANGE •
X_ $10.00 .. ,
14 DRYER X $10.00 = . ... .
15 FUEL BURNING WATER HEATER X $10.00 =
16 MISC.FUEL BURNING APPLIANCE • _ X $10.00 =.
17 GAS PIPING(each outlet) X $1.00 . .
18 DUCT SYSTEMS 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 $19.00
22 EVAPORATIVE COOLERS X $10.00
23 TYPE I HOOD • . . X' $50.00 =
24 TYPE It HOOD X $10.00
25 HEATPUMPIA02 CONDITIONER . 83 TON • X $12.00
26 AIR CONDITIONER 3-15 TON X ` $20.00 =
___ -27-_AIRCONDLTIONER--- _.- -_- 15:30TDN' ---. X $2500 -._..
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 . _
i.
32 WOODSTOVE-FREE STANDING X $25.00
METHOD OF PAYMENT: SUBTOTAL
0 CASH 0 CHECK 0 VISA I] DATE:-MC PROCESSING FEE $35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: