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2012, 04-23 Permit App: BLD-2012-0480 Mechanical, Plumbing Fixtures
Sp©ka ne ,Valley Community Development Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www. spokanevall;y.ore.com Mechanical Permit Application ❑ Commercial SITE ADDRESS LO- zPr2 PERMIT NUMBER: PERMIT El Residential WO4 N oa,c Building owner Name: Phone: - Fax Address: City State Zip Cont , ,. Nam,. hC rL _._U K Phone: ' Fax: - Address: City State Zip License No: City Business License No: Codtac-: Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE 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 BOILER/REFRIGERATION 1,001 - 1,750M BTU _ X $35.00 = 11 BOILER/REFRIGERATION More than 5 T om( X $60.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE v Pt -. X $10.00 • = 13 RANGE fl ` cy ov x $10.00 = J DRYER \� G up -14 '. �- 1 X $10.00 = 15 FUEL BURNING WATER HEATER �� / X $10.00 = }.9~ 16 MISC. FUEL BURNING APPLIANCE _, - X $10.00 = 17 GAS PIPING (each outlet) J 1- ,a .....:w, X $1.00 = tv- 18 DUCT SYSTEMS I ? X $10.00 = i 19 VENTILATING FANS t 1 X $10.00 = i i; 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 1 X $10.00 = i; 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 0 CHECK 0 VISA 0 MC CARD #: SUBTOTAL DATE: PROCESSING FEE - $35.00 EXPIRES. TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 Niblane 40000 Millet' Community Development www spokanevalley ore.com Plumbing Permit Application Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 ❑ Commercial act- ma- a 00 PERMIT NUMBER: PERMIT FEE: ❑ Residential SITE ADDRESS Uott 1\1, 0 Building owner Name: Q,IOkpito y Loc 00,h5Phone: Address: Fax City State Contractor Zip Name: (led 5e Address: `7 Phone: Fax: City License No City Business License No: State Zip Contact' Name: Phone: AUTHORIZED SIGNATURE: REVISED 8/26/05 DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 1 X $6.00 = 2 URINALS X $6.00 = t</ 3 TUBS 1 X $6.00 = t 4 SHOWERS (PER TRAP) BATH, STALL, O SITE BUILT LAVS/BASINS, AkO `I*ITCHEN, LAUNDRY,Stj l GG , PHOTO, EP/CUIrINARY MEAT X AllE0U ;1 ‘`•'- 5P C` X X X $6.00 $6.00 $6.00 = = �/ 4�' 5 SINKS DISHWASHER 6 7 CLOTHES WASHER co. ca c- - A .Cljl X $6.00 = 8 GARBAGE DISPOSAL X $6.00 = ,, 9 WATER SOFTENER �., 1 1 Z X $6.00 = 10 ELECTRIC HOT WATER TANK ay.TF•fif GAS, S , CHANICAL 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 = I 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: 0 CASH ❑ CHECK DATE: SUBTOTAL 96 0 VISA ❑ MASTERCARD PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05