2003, 10-13 Permit App: BLD-03-02753 Plumbing FixturesMETHOD 0
)ATE
*lane
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Spokane Valley, WA 99206 509-688-0037 - Fax
4,0•01,7aliq For Inspections, call 509-688-0054
Plumbing Permit Application (7- 7/91-1)
PROJECT
ADDRESS:
-
PERMIT
USE:
OWNER
X
PHONE (Daytime Contact):
MAILING ADDRESS:
AMOUNT
(street)
(city/state) (2IP)
CONTRACTOR
I.
LICENSE is
MAILING ADDRESS:
_
PHONE 1:
Z
(street)
(city/state) (ZIP) '
PLUMBING FIXTURES
IANKCARD NUMBER
,UTHORIZED SIGNATURE:
DESCRIPTION
DETAILS
P OF UNITS
X
COSI
EQUALS
AMOUNT
t
TOILETS
WATER CLOSET, BIDETS
I.
X
$6
_
Z
URINALS
X
�
-
3
TUBS
X
E6
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
I
X
$6
•
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
(
X
E6
-
6
DISHWASHER
."
X
16
-
7
CLOTHES WASHER
X
E6
-
5
GARBAGE DISPOSAL
X
$6 '
-
9
WATER SOFTENER
X
$6
•
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
86
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6
-
17
.
FOUNTAINS, DRINKING .•
u. X _
_ �_..
.. .... .....
13
WATER PIPING/DRAIN-IN
WASIZ VENT, PLUMBING.
REVERSAL
INSrA TION, ALTERATION, REPAIR
j
X
$6•
SAIS�
14
SEWAGE EJECTOR
GRINDER SUMP PUMP
X
$6
-
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER. HOSE BIB,
STEAMER, PROOFER, CARBONATOR
SWAMP COOLER
X
EIS
-
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE, AND
RPBpA. POR VATS, TANKS, BOILERS
X
•
17
SPRINKLER SYSTEM
X
E25
16
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HDLDING TANK
X
S6
..
19
MEDICAL GAS Pe, outlet
NRROU$ OXYGEN
X
$6
•
20
MISC PLUMBING FIXTURE
X.
$6
-
PAYMENT
] CHECKS 9 WI=❑
4 sYa'Gref,,
.J
SUBTOTAL: -
PLUS PROCESSING FEE:
$35.00
TOTAL PERMIT FEE DUE:
IANKCARD NUMBER
,UTHORIZED SIGNATURE:
Walley
Mechanical Permit Application
11707 Eat Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509 -688 -0037 -Pax
For Inspections call 509-688-0054
PROTECT5
: 61VC/7,,&F
SEADR
U
OWNER rc
,,it
PHONE (Daytime Contact):
MAILING ADDRESS: C
1 ( J O-sf7r 3-••4 450—/T
(street) (d /state) (ZIP)
CONTRACTOR:LICENSE
/ W ss, r *=61ine,-.e'(11T
AX
P:
A4GC., c r4y[ Si±, L'O
MAILING ADDRESS:
302 / L/ /t ?y .Ari StmesA.,r<.._.s
PHONE!:
2-7_3-005/
cm ad -t._
(street) (dty/state) (ZIP)
METHOD OF PA
❑ CASH D CHEGC ❑ 00 1 ❑
DATE
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORX
S OFUNITS
X
COST
EQUALS
AMOUNT
1
FUEL BURNING APPLIANCE
• OR <IWMO
X
' $15•
1
FUEL BURNING APPLIANCE
)105,O.M1
X
5t9
•
3
UNLISTED APPLLANC6 (ADDITIONAL FEE)
• OR <400,000
X
550
•
4
UNLISTED APPLIANCE (ADDFRONAL FEE)
> 400,000
X
5100
-
5
USED APPLIANCE (WSEC min. AFUE rating)/
- or < 4Wµ00
X
550
•
6
USED APPLIANCE ("MEC Mn. AFUUE riling))
> 4W,000
X
5100
•
7
BOILER/REFRIGERATION
1- IWM BTU
X
515
8
BOILELREPRIGERATION
101-5011M BTU
'X
$28
-
9
BOILER/REFRIGERATION
501 -1,0 -NM BN
X
1059
-
10
BOILER/REFRIGERATION
1001.1,750M BTU
X ,
557
•
11
BOILER/REFRIGERATION
+1750M Bn1
X
595
•
n
GAS LOG, GAS INSERT, GAS FIREPLACE
-
X
$10
•
13
RANCE
-
X
510
-
14
DRYER
-
X
$10
-
15
FUEL BURNING WATER HEATER
-
X
510
16
MIST FUEL BURNINGAPPL ,
-
X_
S10_
17
CAS PIPING (a& 0u8<t)
-
X
51
-
18
DUCTS/STEMS
_
X
510
•
19
VENHLATWG FANS
-
X
510
20
AIX HANDLER (DOES NOT Include ducting)
• OR910,OWCFM
X
512
21
AM HANDLER (DOES NOTIndude ducting)
> woo am
X
$19
22
EVAPORATIVE COOLERS
-
X
510
73
TYPE! HOOD
-
X
$W•
24
TYPED HOOD
-
X
510
-
25
HEAT PUMP/AIX CONDITIONER
0-3 TON
X
512
•
26
ARI CONDITIONER
3-15 TON
X
SID
-
37
AIR CONDITIONER
1530 TON
X
525
•
28
AIR CONDITIONER
30.50TON
X
535
•
A
AIX CONDRIONER
+SO TON
X
560
-
30
LPG STORAGE TANK
-
X
S10
-
31
WOOD OR PELLET STOVE/INSERT
-
X
510
-
32
WOOD SNVF- FREE STANDING
-
X
$25
-
WENT
3K`ib
SUBTOTAL:
PLUS PROCESSING EEE
$35.00
TOTAL PERMIT FEE DUE
❑ CASH D CHEGC ❑ 00 1 ❑
DATE
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: