2006, 09-06 Permit App: 06003558 Plumbing Reversal, FixturesSg6!5ine ® 1) 707 E Sprague Ave, Suite 105
csoo, Valley
Spokane Valley, WA 99205
(309)688-0036 FAX: (509)686-0037
Community Development Wale snolcanrvallev.org •
Mechanical Permit Application ❑ Commercial
PERW T NLMMBER
PER.TMTT FEE:
D Residential
SITE ADDRESS:
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Name:
Phone:
Fax:
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Zip: `L'�GG` �
License No:
City Business Lic:
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Name:
Phone:
DESCRIPTION OF WORK
S OF UNITS
X
COST
= TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
512.0D
2
FUEL BURNING APPLIANCE
More than 100,000
X
515.00
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 (W SEC min. AFUE rating)
Equal to or less than 400,000
X
550.00
6
USED APPLIANCE (WSEC min. AFUE rating)
More than 400,00D
X
5100.00
7
BOILER/REFRIGERATION
1- 100M BTU
X
$12.00
8
BOILER/REFRIGERATION
101 -50DM BTU
X
520.00
.9
BOILER/REFRIGERATION
501 -1,000M BTU
X
525.00
10
BOILER/REFRIGERATION
1,001 - 1,75DM 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
510.00
14
DRYER
X
510.00
15
FUEL BURNING WATER HEATER
X
510.00
16
MISC. FUEL BURNING APPLIANCE
X
510.00
17
GAS PIPING (each outlet)
X
51.00
18
DUCT SYSTEMS
X
510.60
19
VENTILATING FANS
X
510.00
20
AIR HANDLER (ODES NOT indude ducting)
Equal to or less than 10,000 CFM
X
512.00
21
AIR HANDLER (DOES NOT indude ducting)
Greater than 10,000 CFM
X
515.00
22
EVAPORATIVE COOLERS
X
510.00
23
TYPE I HOOD
X
550.00
24
TYPE II HOOD'
X
510.00
25
HEAT PUMP/AIR CONDITIONER
' 0-3 TON
X
512.00
26"
AIR CONDITIONER
3-15 TON
X
$20.00
27
AIR CONDITIONER
15-30 TON
X
525.00
28
AIR CONDITIONER
30-50 TON
X
535.00
29
AIR CONDITIONER
More than 50 TON
X
550.00
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
515.00
34
VENTILATION SYSTEMS
X
512.00
35
VENTILATION MECHANICAL EXHAUST
X
512.00
35
INCINERATOR - RESIDENCE
X
519.00
37
INCINERATOR - COMMERCIAL
X
522.00
METHOD OF PAYMENT:
OCASH 0 CHECK 0 VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 1126/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
SpOiiane 1 11707 E Sprague Ave, Suite 1D6
Spokane Valley, WA 99206
(509)6S8-0036 FAX: (509)688-0037
Community Development w'nvspoganevalley Ore
Plumbing Permit Application n Commercial
.0„:00W11eY
PERMIT NUMBER: 06 — 3 SSO
PERMIT FEE:
esidential
SITE ADDRESS:
Building Owner
..
Name
Phone:
Faz:
Address:
City
State:
Zip:
Contractor '
Nath:
Phone: .
Fax
Address:-
City.
State:...
Zip:
License No:
City Business Lie:
-
•
.
Name:
Phone:,'
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DESCRIPTION OF WORK
A OF UNITS X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
56.00
2
URINALS
X
56.0D
3
TUBS
X
56.0D
4
SHOWERS (PER TRAP)
BATH, STALL, ONSITE BUILT
X
56.00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY. FOOD. PREP/CULINARY MEAT
X
S6.00
6
DISHWASHER
X
56.00
7
CLOTHES WASHER
X
56.00
8
GARBAGE DISPOSAL
X
56.00
9
WATER SOFTENER
X
56.00
10
- ELECTRIC HOT WATER TANK
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
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING. REVERSAL
NSTALLATION, ALTERATION, REPAIR
REVERSALS
X
X
56.00
$6.OD
15
SEWAGE EJECTOR
GRINDER SUMP PUMP
X
56.00
6
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
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
X
56.00
19
MEDICAL GAS (per outlet]
NITROUS, OXYGEN
X
56.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
56.00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
520.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
515.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Cards
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE: