2007, 04-02 Permit App: 07001059 Plumbing, Mechanical Fixtures.1
Sp"kane�
Va11ey
Community Development
Plumbing Permit Application n Commercial- ix Residential
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
wu w. snokaneval lev.ore
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS:
/6 o 5 /J/ 6t»v y ) )9.
4A�/trtA,E-, t4 //.ctr / u/dl. 975
Building Owner - / / -
Name: /
L/1.g rozlyHe
Phone: Fax:
ys3L- BGg� gay -4z73
Address` tJ'-Pi%9oy
City: S/o( /1 Ak aC-/ u»'�/iMSe: 4//4 Zip:
Ofj
/ /0'/
l
C
Contractor eG #£✓L / C*s*l /t0 ,,e.)
Name: y
Phone: Fax:
Address:
City: State: Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
it OF UNITS
X
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
A
X
$6.00
G'1
2
URINALS
X
$6.00
3
TUBS
X
$6.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
1
X
$6.00
G.
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
1
X
$6 00
!D,ge
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
X
E6 00
8
GARBAGE DISPOSAL
X
$6 00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
6 /6G
NOTE: IF GAS, SEEE MECHANICAL
/
X
$6.00
G
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 DISPOSAUSYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
DCASH
Cardtt
❑ CHECK D VISA DMC
AUTHORIZED SIGNATURE:
REVISED 8126/05
EXPIRES
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Spokane
awoosUalley-
Community Development
Mechanical Permit Application
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX' (509)688-0037
www.spokancva I lev.ore
PERMIT NUMBER: 1 DS 9
PERMIT FEE:
❑ Commercial XResidential
SITE ADDRESS: ,//I C 5 Al 60A A en -
Building Owner
I
,Y. - _
Name: �r; I Co LY At Phone: 4 •7 = rJ` o 2
7 J Pate-
Fax:
r— GA7 3
/ 7 oZii J
Address: ! Ci
1,600M -Aa—
tate:
4
Contractor,
tt c�i�
.,..rile;. yroliAit
Name:
Pho e:
Fax:
Address:
44..nis
as own/�t City.
State:
Zip:
License No:
J City Business Lie:
...o_
:_...
- - -
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 (W SEC min AFUE rating)
Equal to or less than 400,000
X
$50.00
6
USED APPLIANCE (W SEC 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
X
$10 00
15
FUEL BURNING WATER HEATER
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
X
$10.00
ID, a
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:
DCASH ❑ CHECK 0 VISA 0 MC
CARD #
AUTHORIZED SIGNATURE:
REVISED 526/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: