2006, 02-27 Permit App: 06000603 Sink, Dishwasher-xne
6,0%1 ley
PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Address: qq b!; F_ , 04TA Permit Use:
Phone (Daytime Contact): coq 9A -g- .616,3
Mailing Address: 2i Solt, . r L4,0 Spe,klug VALLLy
Owner to / ha -hi 4-) &bS1
Community Development Department
Building Division _
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
04203
Contractor:
Mailing Address:
City
License #:
State
Zip Code
Phone #:
City
State
Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
M OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
56.00
=
2
URINALS
X
56.00
=
3
TUBS
X
56.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ONSITE BUILT
X
56.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR. KITCHEN,
LAUNDRY. UTILITY. JANITOR. PHOTO,
X-RAY. FOOD. PREP/CULINARYMEAT
X
56.00'
6
DISHWASHER
j
I
X
56.00
=
7
CLOTHES WASHER
\
X
56.00
=
6
GARBAGE DISPOSAL
X
56.00
=
9
WATER SOFTENER
X
56.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
56.00
=
11
FLOOR DRAINS
AREA, CASE. COIL. TRENCH, CONDENSATE
X
56.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
56.00
=
13
FOUNTAINS, DRINKING
X
56.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION. REPAIR,
REVERSALS
X
56.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
56.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X
56.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R. P.B.P.D. FOR: VATS, TANKS, BOILERS
X
56.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
19
MEDICAL GAS (per outlet) ,-
NITROUS, OXYGEN
X
X
56.00
56.00
20
MISCELLANEOUS PLUMBING
FIXTURE
21
PRIVATE SEWAGE DISPOSAL/SYS
X
520.00
22
INDUSTRIAL WASTE
INTERCEPTOR
X
515.00
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK
DATE: -
SUBTOTAL
0 VISA 0 MASTERCARD
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SPokane
"WI')
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Address:
Owner:
Mailing Address:
Contractor:
Mailing Address:
•1
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
Gey
Siaie
Lc Coce
License #: Phone #:
Stale
2.n Code
AUTHORIZED SIGNATURE.
DESCRIPTION OF WORK
N OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100.000
X
• 512.00
=
2
FUEL BURNING APPLIANCE
More than 100.000
X
515.00
=
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400.000
More than 400.000
X
X
550.00
5100.00
=
=
4
UNLISTED APPLIANCE (Additional Fee)
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400.000
X
550.00
=
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,000
X
5100.00
=
7
BOILER/REFRIGERATION
1 - 100M BTU
X
512.00
=
8
BOILER/REFRIGERATION
101 - 50DM BTU
X
520.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525.00
=
10
BOILER/REFRIGERATION
1,001 - 1,750M STU
X
535.00
=
11
BOILER/REFRIGERATION
More than 1.750M BTU
X
560 00
=
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
510.00
=
13
RANGE
X
510.00
=
14
DRYER
X
510.00
=
15
FUEL BURNING WATER HEATER
X
510.00
16
MISC. FUEL BURNING APPLIANCE
X
510.00
=
17
GAS PIPING (each outlet)
X
51.00
=
18
DUCT SYSTEMS
X
510.00
=
19
VENTILATING FANS
X
510.00
=
20
AIR HANDLER (DOES NOT incJude ducting)
Equal to or less than 10.000 CFM
X
512.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
X
515.00
=
22
EVAPORATIVE COOLERS
x
5,0.00
=
23
TYPE I HOOD
X
550.00
=
24
TYPE II HOOD
I
X
510.00
=
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512.00
=
26
AIR CONDITIONER
3.15 TON
X
520.00
=
27
AIR CONDITIONER
15-30 TON
X
525.00
=
28
AIR CONDITIONER
30-50 TON
X
535.00
=
29
AIR CONDITIONER
More than 50 TON
X
560.00
=
30
LPG STORAGE TANK
X
510.00
31
WOOD OR PELLET STOVE/INSERT
X
510.00
=
32
WOOD STOVE - FREE STANDING
X
525.00
=
33
REPAIR & ADDITIONS
X
515.00
=
34
VENTILATION SYSTEMS
X
512.00
=
35
VENTILATION MECHANICAL EXHAUST
X
512.00
=
36
INCINERATOR - RESIDENCE
X
519.00
=
37
INCINERATOR - COMMERCIAL
X
522.00
METHOD OF PAYMENT:
❑ CASH ❑ CHECK 0 VISA 0 MC
CARD k:
SUBTOTAL
DATE:
PROCESSING FEE
135.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE.