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2010, 08-25 Permit App: 10002635 Sewer Reversalkane Valley. 0 Community Development Plumbing Permit Application SITE ADDRESS: // E j.Yt Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenter@spokanevalley.org PERMIT NUMBER: (13— 2(D3 PERMIT FEE: n Commercial Residential Building Owner Name: A n 1 C Cq -/„ Le /i l� Phone: Fax: State:y0,oi Zip: . Address: E I 2 r _, ,,r -e_- City: c j�, a V ode/ / vfrtp Contractor ! l A e ,r J. l� 14, Name: C %� /h amt / 'N Phone: .3 G / ? % Fax: Address: f i �y Lo m k r 4 City: cpa A-1 Statejq Zip: License No: City Business Lic: load il'x6-2?7 Contact/Project Manager: '10, _.a‘...,,... 7 e- Phone: '3 z / Name: v 014 f # OF UNITS PLUMBING FIXTURE ON A TRAP TOILETS URINALS TUBS SHOWERS (per trap) SINKS Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food, Prep/Culinary Meat DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTNER FLOOR DRAIN Area, Case, Coil, Trench, Condensate ROOF DRAIN/OVERFLOW DRAINS FOUNTAIN, DRINKING WATER PIPING/DRAIN-IN WASTE Installation, Alterations, Repair, Reversals I WATER USING DEVICE Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler' PRIVATE SEWAGE DISPOSAL SYSTEM WATER HEATER If Gas, See Mechanical INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Including traps, vents except kitchen type grease interceptors functioning as fixture traps REPAIR OR ALTERATION Water piping, drainage or vent piping ATMOSPHERIC TYPE VACUUM BREAKER BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers MEDICAL GAS INCEPTORS ❑CASH ❑ CHECK 0 VISA 0 MC EXPIRES: Card# VIN: SIGNATURE: RECEIVED BY CITY OF SPOKANE VALLEY AUG 2 5 2010 BY: CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule. PER http://www. spokaneval ley. org/u ploads/Community_Development/Documents/Forms/Bui Iding/Plumb ingPermitApplication040309. doc PLUMBING PERMIT: Plan review fees for mechanical permits will be collected at the time of application as noted in the "Fee Payment" section of this schedule. Permit fees will be collected when the permit is issued. If submitted as part of a building permit application, the unit costs are added, but not the "basic" fee for issuing the permit. A. BASIC FEES 1. Basic fee for issuing each permit $37.00 2. Basic fee for each supplemental permit $8.00 B. UNIT FEES (in addition to the basic fee) 1. Each plumbing fixture on a trap $6.00 each (includes garbage disposals, dishwashers, backflow device, drainage, hot tubs, built-in water softener, water closets, lavatories, sinks, drains, etc.) 2. Water Heater $6.00 each 3. Industrial waste pretreatment interceptor $16.00 (includes its trap and vent, except kitchen type grease interceptors functioning as fixture traps.) 4. Repair or alteration of water piping, drainage or vent piping $6.00 each fixture 5. Atmospheric type vacuum breaker $6.00 each 6. Backflow protective device other than atmospheric type vacuum breakers $6.00 each 7. Medical gas $6.00 per outlet 8. Interceptors $6.00 each RIGHT-OF-WAY PERMIT: A traffic plan and traffic plan review is required if more than 50% of the width of any street is closed or if a single arterial lane is closed. A minimum plan review fee of $61.00 (hourly rate for city employees) applies to all right-of-way permits that require a traffic plan. If additional staff time is required, it will be charged at the hourly rate. Category 1. Non -cut obstruction without clean up 2. Non -cut obstruction with clean up 3. Pavement cut obstruction, non -winter 4. Pavement cut obstruction, winter 5. Approach Permit $73.00 $110.00 $168.00 $210.00 $52.00 SIGN PERMIT: Sign permits are subject to assessment of planning division review fees as found in Schedule A. Sign. Permits are also subject to the assessment of the WSBCC fee as noted in Schedule B "General" section. Signs mounted on buildings $48.00 per sign (flat fee) Sign and pole mounting $68.00 per sign (flat fee) Resolution 09-015 Fee Resolution. for 2010