2013, 06-25 Permit App: BLD-2013-1213 Plumbing, Mechanical Fixtures i
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Valley (509)688-0036 FAX (50 )688-0037 �:a i 2 5 21J LJ __ l
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Plumbing Permit Application afmPrCiali- Ca E.tgaential ;
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Address: City State Zip
License No: City Business License No:
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DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT _
1 TOILETS WATER CLOSET,BIDETS 3 X $6.00 = l Y _
2 URINALS X $6.00 = _
3 TUBS _ 3 X $6.00 = 11
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 1 X $6.00 = (O
LAVS/BASINS,BAR,FLOOR,KITCHEN, —
5 SINKS LAUNDRY,UTILITY.JANITOR,PHOTO, / X $6.00 = 3
_ X-RAY,FOOD,PREP/CULINARY MEAT �Q
6 DISHWASHER 1 X $6.00 = 6
7 CLOTHES WASHER l X $6.00 = 6 _
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
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE ( X $6.00 =
ROOF DRAINS/OVERFLOW —
12 DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $6.00
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR,
14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 =
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 = _
ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER 4.3 X $6.00 = n
PROOFER,CARBONATOR,SWAMP COOLER C"
VACUUM BREAKER,CHECK VALVE, -
17 CROSS CONNECTION DEVICE AND R.P.B.P.D.FOR: VATS,TANKS.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 =
MISCELLANEOUS PLUMBING
20 FIXTURE X $6.00 =
21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 =
INDUSTRIAL WASTE
22 INTERCEPTOR - X $15.00 =
SUBTOTAL
METHOD OF PAYMENT: /0--
PROCESSING
ZPROCESSING FEE
0 CASH 0 CHECK 0 VISA 0 MASTERCARD $35.00
DATE: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: REVISED 8/26/05
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Permit Center t t moo, L.Lo
Sp®`kane 11707 E Sprague Ave,Suite 106
Valle Spokane Valley,WA 99206 , s , (i F t 1` ` 1, K s 1
J (509)688-0036 FAX (509)688-0037 I t_": 2: z_
Community Development www.snokanevalley.org.com `°' � ���_a �'i(1 "`
Mechanical Permit Application . Comn EC as fja i Rts den tial
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Name: Q i Gt/14p,/La Loc,X C f Phone: cl 24-1-$.76 K Fax
Address: City State Zip
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Name: Phone: Fax:
Address: City State Zip
License No: City Business License No:
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Name: Phone:
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 FUEL BURNING APPLIANCE Equal to or less than 100,000 I X $12.00 = 12 •
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 I . X $10.00• = 1 0
13 RANGE X $10.00 =
14 DRYER I X $10.00 = i O
15 FUEL BURNING WATER HEATER I X $10.00 = (0
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) 3 X $1.00 = 3 _
18 DUCT SYSTEMS I X $10.00 = JO _
19 VENTILATING FANS 9 X $10.00 , = 4 U
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 I X $10.00 = (U
25 HEAT PUMP/AIR CONDITIONER 0-3 TON ' X $12.00 =
26 AIR CONDITIONER 3-15 TON glit X $20.00 = JO
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 I IS
❑CASH 0 CHECK 0 VISA 0 MC DATE: PROCESSING FEE
$35.00
CARD#: EXPIRES: TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: REVISED 8/26/05