2003, 07-31 Permit App: BLD-03-02117 Plumbing ReversalSpokan'e\`'''`
,#1/alley
Mechanical Permit Application
11707 East Spragg Avenue, Suite 106 509-688-0036 - Phone
SpokaneValley,'VA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
PROJECT
ADDRESS�I/a Q. if dethey(,c>u
PERMIT
USE:
OWNER � A p - 'FO w I S
PHONE (Daytime Contact): Spot ?a g _c2 a:53, 2
MAILING ADDRESS:
i i i as E 0 0.1la,t LociAt S v -P-e 63 A_ 9-` ao1-0
(street) (city/state) (ZIP)
EQUALS
CONTRACTOR:
LICENSE 5:
FUEL BURNING APPLIANCE
MAILING ADDRESS:
PHONE 9:
X
$15
-
(street) (city/state) (ZIP)
2
METHOD OF PA
❑ CASH ❑
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
2 OF UNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
-OR<103,000
X
$15
-
2
FUEL BURNING APPLIANCE
> 100,000
X
519
•
3
UNLISTED APPLIANCE (ADDITIONAL FEE)
• OR <400,000
X
550
-
4
UNLISTED APPLIANCE (ADDMONAL FEE)
>400,000
X
5100
-
5
USED APPLIANCE (WSEC min. AFUE rating)
• or <400,000
X
550
-
6
USED APPLIANCE (WSEC Mn. AFUE rating)
> 400,000
X
5100
-
7
BOILER/REFRIGERATION
1- 103M BTU
X
515
-
8
BOILER/REFRIGERATION
101- 500M BTU
'X
528
-
9
BOILER/REFRIGERATION
501- 1,000M BTU
X
539
-
10
BOILER/REFRIGERATION
1001- 1,750M BTU
X
557
-
11
BOILER/REFRIGERATION
•175014 BTU
X
595
-
12
GAS LOG, GAS INSERT, CAS FIREPLACE
-
X
510
•
13
RANGE
-
X
510
-
14
DRYER
-
X
510
-
15
FUEL BURNING WATER HEATER
-
X
510
•
16
MEM FUEL BURNING ADPL.
-
X
510
-
17
GAS PIPING (ea. Outlet)
-
X
51
•
18
DUCT SYSTEMS
-
X
510
•
19
VENTILATING FANS
-
X
510
•
20
AIR HANDLER (DOES NOT Include ducting)
•OR<10,000CFM
X
512
-
21
AIR HANDLER (DOES NOT include ducting)
>10,000 CFM
X
519
-
22
EVAPORATIVE COOLERS
-
X
510
-
23
TYPE I HOOD
-
X
550
-
24
TYPE I HOOD
-
X
510
•
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
512
•
26
AM CONDMON$R
3.15 TON
X
520
-
27
AIR CONDTr1ONER
15-30 TON
X
525
-
28
AIR CONDITIONER
30-50 TON
X
535
-
29
AIR CONDITIONER
+50 TON
X
560
-
30
LPG STORAGE TANK
-
X
510
•
31
WOOD OR PELLET STOVE/INSERT
-
X
510
•
32
WOOD STOVE -FREESTANDING
-
X
525
•
WENT
YIS9 "Vast d
SUBTOTAL
PLUS PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Sifane�``
4_ #Valley
Plumbing Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, VSA -94206 509-688-0037- Fax
For Inspections, call 509-688-0054
PROJECT
ADDRESS:
DESCRIPTION
-.N\
PERMIT
USE: ,
t OF UNITS
OWNER
COST
PHONE (• . ytime Cdnt
s •t): 1
\
MAILING ADDRESS:
,
I
X
it,
v
2
(street)
(ZIP)
X
sae)
CONTRACTOR:
LICENSE 9:
TUBS
MAILING ADDRESS:
PHONE t:
Ajoke
§6
-
i
(street) (city/state)
(ZIP)
BATH,STALL, ON -SE BUILT
IT
PLUMBING FIXTURES
ETHOD 0
I CASH
STE:
kNKCARD NUMBER
JTHORIZED SIGNATURE.
DESCRIPTION
DETAILS
t OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6
•
2
URINALS
X
S6
•
3
TUBS
X
§6
-
4
SHOWERS (PER TRAP)
BATH,STALL, ON -SE BUILT
IT
X
$6
-
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
X
$6
-
6
DISHWASHER
X
$6
-
7
CLOTHES WASHER
-
X
$6
-
8
GARBAGE DISPOSAL
X
56
•
9
WATER SOFTENER
X
$6
-
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6
••
11
FLOOR DRAMS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6
-
12
FOUNTAINS, DRINKING
KI
X
$6
-
13
WATER PIPING/DRAIN-IN
WASTE, VENT, PLUMBING .
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6;
C,•00
14
SEWAGE EJECTOR
GRINDER SUMP PUMP
X
$6
.
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER HOSE BIB,
STEAMER, PROOFER, CARBONATOR,
SWAMP COOLER
X
$6
-
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE, AND
RP.B.P.D. FOR: VATS, TANKS, BOILERS
X
'
17
SPRINKLER SYSTEM
X
$25
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICALes
HOLDING TANK
X
$b
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
.•
20
MTSC. PLUMBING FIXTURE
X
$6
.
PAYMENT
CHECK
1SK
!.
•)t's
SUBTOTAL:
PLUS PROCESSING FEE:
$35.00
■ •
TOTAL PERMIT FEE DUE:
_l 00
STE:
kNKCARD NUMBER
JTHORIZED SIGNATURE.