2006, 07-11 Permit App: 06002650 Plumbing FixturesPermit Center
Sporkane 11707 E Sprague Ave, Suite 106 PERMIT NUMBER ,44's
..;,001F 'Valley Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.or2 PERMIT FEE`
Plumbing Permit Application ❑ Commercial ® Residential
SITE ADDRESS: O �v S -
Building Owner
1 TUBS
Name: 3
Phone: _
Fax:
Address: �.
City:
�//(e
State: Zip: p/
Contractor
$6.00
=
Name:
Phone:
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
Fax:
Address:
City:
=
State: Zip:
License No:
City Business Lic:
Contact
$6.00
-
Name:
Phone:
OF WORK
BIDETS
# OF UNITS
TOTAL AMOUNT
3
1 TUBS
X
1 $6.00-
4
SHOWERS PER TRAP
BATH, STALL, ONSITE BUILT
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
+
I
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 HOT WATER TANK
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
I
X 1
$6.00
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X 1
$6.00
-
19
MEDICAL GAS (per outlet)
NITROUS. OXYGEN
X 1
$6.00
=
22 1 INDUSTRIAL WASTE INTERCEPTOR I X 1 $15.00 =
SUBTOTAL
METHOD OF PAYMENT:
PROCESSING FEE
❑CASH ❑ CHECK ❑ VISA ❑ MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26105
P .r
Permit Center
okane 11707 E Sprague Ave, Suite 106
�jUalley Spokane Valley, WA 99206 PERMIT NUMBER:
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallev.org PERMIT FEE:
Mechanical Permit Application-� [jCommercial ® Residential
f
SITE ADDRESS:y�U S - `J JCS
Building Owner
DESCRIPTION OF WORK
Name:`
-Se�s
Phone: e
Fax:
Address: -
-fez
City:
G i.,&
State: Zip: a
Contractor
$12.00
=
Name: S'<-7 r
Phone: �S
Fax:
Address: J i
City: t�/6/
State: Zip:
License No:
City Bus ness Lic:
Equal to or less than 400,000
Contact
$50.00
=
Name:
Phone:
More than 400,000
AUTHORIZED SIGNATURE:
REVISED 8/26/05
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 SEC min. AFUE rating)
Equal to or less than 400,000
X
$50.00
=
6
USED APPLIANCE 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
BOILERIREFRIGERATION
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
- !�
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
3-15 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 ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
C9.
$35.00
VZ'
AUTHORIZED SIGNATURE:
REVISED 8/26/05