2007, 10-10 Permit App: 07004061 Mechanical and PlumbingSpokan e`'�
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www. spokan evalle v.ora
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
IPI Commercial IXResidential
SITE ADDRESS: J 7..2-- 3 S r ke. 4 /44 7 C' C 3
Building Owner
Name: _S-CeYt
// � ' . /
Phone:
e7 J 4/0
O 64,
Fax:
Address:
cS ,(? i /
K
City:
State: Zip:
Contractor y f , /
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Name: V/f�'1-�-rf—1 `L-.�I (1
Phone: o2.Zg — OLZ.I
Fax: f- .ZO - QZZI
Address: /
/ / 8 G �py2!'p.GI I l L
City: s, v L,�_v
State: A Zip: q J -o /
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License No: K , TC i..tT?4 q , A. C
t� YYa(�� ��
City Busi ss Lic:
1,�1 t
Contact f t L\-\. * 9c -`-i L.2-
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7 J LL c P
Name:
Ph ne:
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
X
$6.00
2
URINALS
X
$6.00
3
TUBS
4
5
SHOWERS (PER TRAP)
SINKS
htb cav-cr
BATH, STALL, ON-SITE BUILT
X
$6.00
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
6
DISHWASHER
3
1
X
$6.00
$6.00
X
$6.00
7
CLOTHES WASHER
X
$6.00
8
GARBAGE DISPOSAL
I
X
$6.00
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
06.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
13
14
FOUNTAINS, DRINKING
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
X
$6.00
$6.00
15
16
SEWAGE EJECTOR
WATER USING DEVICE
GRINDER, SUMP PUMP
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
X
X
$6.00
$6.00
$6.00
X
$6.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
20
MISCELLANEOUS PLUMBING FIXTURE
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$6.00
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
X
$15.00
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Spokan e�
Valley -
Community Development
Mechanical Permit Application n Commercial aResidential
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org
PERMIT NUMBER: L &
PERMIT FEE: J I -
SITE ADDRESS:
-7 -- S. (ku/0 I CSI-.
SPuktt L/ GIA
'7'9U 37
Building Owner
Name: Sca-tt d ,-1-777,1 lJ`t e 5...,
e: / �/0 _106t2
Fax:
s/>r4
City:Phon
State:
Zip:Address:
Contractor J/ -7tt,1_ ,-
to
Tknt (-11"f,
r
'lY_!
Name: :
„ �'-
Z2 g- l)2.
Phone: Z�
Fax:
Z�� - 6.2----)- /
Address: II ��7 �,
rites
City: r ,7_�r
State:
/,/j Zip: q-9�67
tW
License No: L 17--c/4-774,
!\
1 -;2_6•07&
City Busine s Lie:
Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
= TOTAL AMOUNT
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
19
VENTILATING FANS
i'hkh ha --
X
$10.00
1
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 1 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
4-15 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
33
WOOD STOVE - FREE STANDING
X
$25.00
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:
OCASH 0 CHECK 0 VISA 0 MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: