2008, 09-15 Permit App: 08003621 Range, SinkPermit Center
Sij kliFiee 11703 E Sprague Ave, Suite B-3
Spokane ra1�C�
(509)688-0036 v FAX (509)688-0037
Community Development permitcenternspokanevallel ore..
Plumbing Permit Application n Commercial 51 Residential
PERMIT NUMBER:Y. 3co
PERMIT FEE:
SITE ADDRESS: 9-3 /0- S P1 -4.5-x /-✓7�`"'
Building Owner-
Name:
Phone:
Fax:
Address' 2-3/a s, 0Lr5,A, /...4„.t./.6_
City: S'PG F v4Lt1' Y
State:
4,A.
Zip:
Contractor
Name: MoSL Moi A4 pt� .
i-vnir-..,6
Phone(c0, .) p„,--76,.....0,es
t
Fax:
jState'
Address: . ,;57 9.../ 04 r�•v 12.0
City. Oifi /Vi2K
State:
(,C --A.
Zip:
C`7 70°‘
License No: No&GL- f1 4 O o G G s
City Business Lie:
Contact - - -
-
- - -
Name: Jo yet, Y/'kep,„,,
Phone: L76 - 09 9.5'
DESCRIPTION OF WORK
# OF UNITS X COST
TOTAL AMOUNT
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
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
56 00
1. Go
6
DISHWASHER
X
56 00
7
CLOTHES WASHER
X
$6 00
8
GARBAGE DISPOSAL
X
$6 00
9
WATER SOFTENER
X
56 00
10
ELECTRIC WATER HEATER
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
56 00
20
MISCELLANEOUS PLUMBING FIXTURE
X
56 00
21
PRIVATE SEWAGE DISPOSAUSYS
X
520.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
515.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK 0 VISA 0 MC EXPIRES'
Card# VIN
AUTHORIZED SIGNATURE:
REVISED 826/05
SUBTOTAL
G. co
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
W00
LSOkane
esa0Ualley-
Community Development
Mechanical Permit
Permit Center
11703 E Sprague Ave, Suite 13-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permiteenten )sookanevalley.org
Application n Commercial
PERMIT NUMBER:
PERMIT FEE:
csidential
SITE ADDRESS: ' 3' - S, 0 f K N4r
Building Owner_
Name:
Phone:
Fax:
Address: ;:3/ y D Li 5./e
,C
City Sp0/u , U4a6 Y
State:
/^/A
Zip:
Contractor - i-
- - -
-`, -
- --_
Name No/3t6r)k44/5 FL' c4 l3.rW6
Phonet.509) 274 0785'
Fax:
Address: /4.< 0'57'nvti
, o %z%2
Co' D 6Slt)947/?K
State:
Gv 1.
ZIP 99006'
License No. No 8L£/pT` 00(, 6'5
City Business Lie:
Contact _/eBL7.oa-y
Name. JO/94✓ G-Fi Li K7y94—''
Phone: g%6' 398J
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
51200
2
FUEL BURNING APPLIANCE
More than 100,000
X
515 00
3
UNLISTED APPLIANCE (Additional Fee)
Equal to or less than 400,000
X
550 00
4
UNLISTED APPLIANCE (Additional Fee)
More than 400,000
X
5100 00
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
$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
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
$10.00
/0.00
14
DRYER
X
510.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC FUEL BURNING APPLIANCE
X
510.00
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
512 00
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10,000 CFM
x
$15 00
22
EVAPORATIVE COOLERS
X
510 00
23
TYPE I HOOD
X
$50 00
24
TYPE II HOOD
X
51000
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
4-15 TON
X
520 00
27
AIR CONDITIONER
15-30 TON
X
$25 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
$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 ❑ CHECK ID VISA ❑ MC
CARD #
AUTHORIZED SIGNATURE:
REVISED S/26/05
EXPIRES:
VIN:
SUBTOTAL
/0.d0
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: