2005, 07-05 Permit App 05-2285 Plumbing Fixtures9
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Project Address:
Owner,
Mailing Address:
PLUMBING PERMIT APPLICATION Community Development Department
Building Division
Phone: (509) 688-0036; FAX: {509,qt93C IE 0 N f F0Opokane
prague Avenue, Suite 106
For Inspections, Call (509) 68$ Valley, WA 99206
Contractor. /9(r�N e12
Mailing Address:
Phone (Daytime Contact)':"q S p
all IJP- P9�t 2
City State
License #
City
Phone#:
BANKCARD NUM
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
R OF UNITS
X
I COSI
TOTAL AMOUNT
1
TOILETS WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$6.00
-
3
TUBS
X
$6.DD
-
4
SHOWERS PER BATH STALL ONSrrE BUILT
X
$6.00
-
5
LAVS/BASINS, BAR, FLOOR KITCHEN,
SINKS LAUNDRY, UTILITY, JANITOR PHOTO,
X-RAY FOOD PREPICULINARY MEAT
X
$6.OD
=
6
DISHWASHER
X
$6.00
-
7
CLOTHES WASHER
X
$6.00
-
6
GARBAGE DISPOSAL
X
$6.0D
-
9
WATER SOFTENER -
X
$B.DD
-
10
ELECTRIC HOT WATER TANK NOTE IF GAS SEE MECHANICAL
X
$6.00
-
11
FLOOR DRAINS AREA CASE C011,TRENCH, CONDENSATE
X
$6.0D
12
ROOF DRAINSIOVERFLOW
DRAINS
X
E6.00
-
13
FOUNTAINS, DRINKING
X
$6.0D
-
14
WATER PIPING/DRAIN-IN WASTE, NSTALLATION, ALTERATION, REPAIR
VENT, PLUMBING REVERSAL REVERSALS
X
$6.DD
-
15
SEWAGE EJECTOR GRINDER SUMP PUMP
X
$6.00
-
16
ICE AN/OR COFFEE MAKER HOSE BIB,
WATER USING DEVICE STEAMER
PROOFER, CARSONATOR SWAMP COOLER
X
$6.DD
=
17
VACUUM BREAKER, CHECK VALVE,
CROSS CONNECTION DEVICE AND R.P.B.P.D. FOR: VATS, TANKS BOILERS
X
$6.DD
-
16
GREASE TRAP, SAND TRAP,
INTERCEPTORS CHEMICAL HOLDING TANK
X
$6.0D
-
19
MEDICAL GAS route NITROUS OXYGEN
X
$6.D0
-
2D
MISCELLANEOUS PLUMBING
FIXTURE_
X
$6.DD
21
PRNATE SEWAGE DISPOSAL/SYS
X
$2D.00
-
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.DD
-
METHOD OF PAYMENT:
❑ CASH ❑ CHECK O VISA ❑ MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMrr FEE DUE:
BANKCARD NUM
AUTHORIZED SIGNATURE:
MECHANICAL PERMIT APPLICATION
Phone: (5D9) 688-0036; FAX: (509) 688-0037
UU11CC�y For Inspections, Call (509) 688-0054
Project Address:
Owner.
Mailing Address:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
Contractor. License #: Phone #:
Mailing Address:
Gy State Zlo Code
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS X
COST - TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,0DO
X
$12.00 -
2
FUEL BURNING APPLIANCE
More than 100,0DD -
X
$15.00 -
3
UNLISTED APPLIANCE Additional Fee
Equal to or less than 400,000
X
$5D.00 -
4
UNLISTED APPLIANCE Additional Fee
More than 400,000
X
$100.00 -
5
USED APPLIANCE SEC min. AFUE ratio
Equal to or less than 40D,DDO
X
$SO.DO -
6
USED APPLIANCE SEC min. AFUE ratio
More than 400,000
x I
$1D0.0D -
7
BOILER/REFRIGERATION
1-10DNI BTU
X
$12.00 -
6
BOILER/REFRIGERATION
101 -500M BTU
X
$20.OD -
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
$25.00 -
10
BOILER/REFRIGERATION
1,DD1 - 1,75DM BTU
X
$35.DO -
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 I
$10.00 -
15
FUEL BURNING WATER HEATER
X
$10.00 -
16
MISC. FUEL BURNING APPLIANCE
X
$10.0D -
17
GAS PIPING each outlet
X
$1.00 -
i6
DUCT SYSTEMS
X
$10.DD -
19
VENTILATING FANS
X
$10.00 -
20
AIR HANDLER POES NOT include ducting)
Equal to or less than 10,000 CFM
X
$12.00 -
21
AIR HANDLER POES NOT include ducting)
Greater than 10,000 CFM
x
$15.DD -
22
EVAPORATIVE COOLERS
X
$10.DD -
23
TYPE 1 HOOD
x
$50.DD -
24
TYPE II HOOD
X
$10.DD -
25
HEAT PUMPIAIR CONDITIONER
0-3 TON
X
$12.00 -
26
AIR CONDITIONER
3-15 TON
X
$2D.OD -
27
AIR CONDITIONER
15-30 TON
X
$25.00 -
26
AIR CONDITIONER
30 -SD TON
X
$35.00 -
29
AIR CONDITIONER
More than 50 TON
X
$60.00 -
30
LPG STORAGE TANK
I X
$10.00 -
31
WOOD OR PELLET STOVEANSERT
X
$10.011 -
32
WOOD STOVE - FREE STANDING
X
$25.00 -
33
REPAIR & ADDITIONS
X
$15.00 -
34
VENTILATION SYSTEMS
X
$12.110 -
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
INCINERATOR -RESIDENCE
X
$19.00 -
37
INCINERATOR -COMMERCIAL
X
$22.D0 -
METHOD OF PAYMENT:
❑ CASH ❑ CHECK ❑ VISA ❑ MC
CAROM.
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE $35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: