2006, 12-21 Permit App: 06004927 Water Heater rtr cr
Permit Center
Spokane 11707 E Sprague Ave,Suite 106 ! �
�0Valley Spokane Valley,WA 99206 PERMIT NUMBER: -4 --7--I
(509)688-0036 FAX:(509)688-0037
Community Development wwwspokanevalley.or= PERMIT FEE: ¶22 __ -
Mechanical Permit Application7n Commercial Residential
J
SITE ADDRESS: / //7 1/?/// Lc,"a y
Building Owner
Name: ID �y Phone: 9/,
"1 n u/// 7..Z .;_ / %�J� Fax:
/ t •
Address: ,�-
f /l� ` IJCt 7�i/ !/y ecr y City: �',!i ..ry l J ti/1e),/1e), Stater Zip: C1>/4
Contractor / ____7;,/,.,.,
Name: Phone:
Fax:
Address: City: State:
Zip:
License No: City Business Lic:
Contact
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(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
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: SUBTOTAL
CASH 0 CHECK 0 VISA 0 MC EXPIRES: PROCESSING FEE
VIN: $35.00
CARD#:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
Permit Center
Sj okan� e _ 11707 E Sprague Ave,Suite 106 PERMIT NUMBER:
_. Valley Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development www.spokanevallev.ore
Plumbing Permit Application ❑ Commercial [ Residential
SITE ADDRESS: /37/ G (Ar///7‘,„`t>
Building Owner
Name: Phone: Fax:
Address: City: State: Zip:
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact
Name: Phone: _
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS X $6.00 =
X
2 URINALS $6.00 =
3 TUBS X $6.00 =
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 =
LAYS/BASINS,BAR,FLOOR,KITCHEN, X $6.00 =
5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO,
X-RAY,FOOD;PREP/CULINARY MEAT
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 = i al)
AREA,CASE,COIL,TRENCH,
11 FLOOR DRAINS CONDENSATE X $6.00 =
12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 =
=
13 FOUNTAINS,DRINKING X $6.00
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, X $6.00 =
14 VENT,PLUMBING,REVERSAL REVERSALS
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 =
ICE AN/OR COFFEE MAKER,HOSE BIB, X $6.00 =
16 WATER USING DEVICE STEAMER
PROOFER,CARBONATOR,SWAMP
COOLER
VACUUM BREAKER,CHECK VALVE,
AND R.P.B.P.D.FOR: VATS,TANKS,
17 CROSS CONNECTION DEVICE BOILERS X $6.00 =
GREASE TRAP,SAND TRAP,
18 INTERCEPTORS 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 =
SUBTOTAL
METHOD OF PAYMENT: PROCESSING FEE
0.CASH ❑CHECK ❑VISA 0 MC EXPIRES: $35.00
Card# VIN: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05