HomeMy WebLinkAbout2003, 04-01 Permit: BD03-036 Plumbing Fixtures City of PLUMBING/MECHANICAL
SPOKANE VALLEY PERMIT APPLICATION & -.,�:
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PERMIT # 0 3 -O
Contractor Information / Applicant Information/
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Job Address /� Owner Name
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Contractor's Names Owner's Address
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S�o,e.s...a, ////a Tei 1=2/- tt 200
City 7 Zip Code Owner phone number
S`"64 -G2/6 -...26 7/
Contractor Phone Number Tax Parcel Number(Assessors Number)
Contractor's registration card(or copy)must be presented at
time of submittal.
Fixture Count/Schedule of Work
Mechanical Basic fee $35. Plumbing Basic fee $35.
Number _ Furnace (up to 100,000 btu) $15.ea Number Toilets Urinals $6.ea
_ Gas Hot Water Heater $10.ea - Tub&faucets $6.ea
Cook Top&other appliances $10.ea _ Shower heads $6.ea
Clothes dryer $10.ea Bathroom sinks $6.ea
_ Conversion burner $10. L Kitchen sinks $6.ea
Gas logs,gas fireplace insert $10.ea - Dishwashers $6.ea
Wood stove system $25. - Hot water tank $10.ea
Appliance vent repair-relocation $7.50 ea _ Lawn sprinkling system $25.
Laundry Washer/sink $10.ea _ Private sewage system $20.
A/C unit ((up to 3 tons) $12. _ Vacuum type breaker(5)$25.
Unit Heater (up to 100,000 btu) $12.ea _ Drinking fountains $6.ea
Fireplace insert (wood-pellets) $10.ea _ Floor Drains $6.ea
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Evaporative coolers $12.ea _ Sump $6.ea
_ Commercial Hood $12.ea L Backflow preventor $6.ea
_ Exhaust vents $8.ea _ pipe-drainage repair $6.ea
Ducts system $12. _ Hose Bib $6.ea
Gas Piping ( outlets) $5.up to 4 outlets
($1.for every outlet after 4)
Total _
Total _ do Fee Cost$ 1...7,--- Total$ /17 "�
Fee Cost$ 3
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card:
Visa Mastercard No. _ Expiration date
Print name of holder Signature
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Signature of applicant at
HOMEOWNER INSTALLER ONLY
I hereby certify that I am the owner of the property described in this application.I understand that
the work is subject to inspection and approval by the City of Spokane Valley,and that I may not allow any
other person,including a licensed contractor,to do any work under this permit.
Signature of owner Date
FOR OFFICE USE ONLY
Date received Circle one: Plumbing Mechanical Both
Supplemental to Permit Number: Date Permit Issued
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Permit Number .0 O C Fee collected $ 7
Issued By: Date
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