2008, 04-18 Permit App: 08001436 Plumbing, Mechanical FixturesSOokane
Community Development
Mechanical Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. spokanev alley. org
SITE ADDRESS:
Co..
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mercial
PERMIT NUMBER: 3 - H 3(r
PERMIT FEE: 94,
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Residential
Building Owner
Name:
Phone: ;)1
r
Fax:
Address:
C1
z 4
/1.4, %
City: ���
r9- l ,
State:
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Zip:
6
Contractor
14
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
r' 6, 77
f3 ,....,e G A ! „ G(
Phone: 7 r .
. / ,
DESCRIPTION OF WORK
# OF UNITS
X
COST
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 1,750M BTU
X
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
X
$10.00
13
RANGE
X
$10.00
14
DRYER
1
X
$10.00
15
FUEL BURNING WATER HEATER
1
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
1
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
$15.00
22
EVAPORATIVE COOLERS
X
$10.00
23
TYPE I HOOD
X
$50.00
24
TYPE II HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
26
AIR CONDITIONER
4-15 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 VISA ❑
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
XPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
VA1 (509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev.ora
Plumbing Permit Application (1 Commercial
PERMIT NUMBER:
PERMIT FEE:
f�/ ,, 9 /� Residential
SITE ADDRESS: C� l 7 l 4 1 6 e ' / ►�i� ' 1 1/4-- / 1
Building Owner St er, Dye ,`, k f ,n /,
, "J\
Name: !/
Phone: Ct
�l,
Fax:
QD , /
Address: �Q,22 1�-/�G,, 4v,
City: [ O
�fl 1,
State:
14/6
Zip:
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C1% 212_
r•
Contractor
Name: L, %�j C
(�
Phone:
Fax:
, '`tee
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name: G d // 45, LC4 i o. Ci
Phone: Co
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2 1,
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DESCRIPTION
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
2
TOILETS
WATER CLOSET, BIDETS
X
$6.00
URINALS
X
$6.00
3
TUBS
/
X
$6.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
I
X
$6.00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
2
X
$6.00
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
/
X
$6.00
8
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC WATER HEATER
NOTE: IF GAS, SEE MECHANICAL
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
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 DISPOSAL/SYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH 0 CHECK VISA 0 MC EXPIRES:
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: