2004, 12-09 Permit App 04009362 Sewer Plumbing ReversalPLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
{vLA,ll For Inspections, Call (509) 688-0054
Project Address:
Owner. �,
Mailing Address: .4. «
Contractor: 9, ," � 94,E License
Mailing Address: 1//. �r 6/n: cw r•�y �,E,� -r b
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact): 1�6 -o—
State
BANKCARD
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
0 OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6-00
=
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
=
4
SHOWERS PER TRAP
BATH STALL ONSITE BUILT
X
$6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
=
6
DISHWASHER
X
$6.00
=
7
CLOTHES WASHER
X
$6.00
=
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
=
12
ROOF DRAINSIOVERFLOW
DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT PLUMBING, REVERSAL
NSTALIATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
=
of o r
Y
15
SEWAGE EJECTOR
GRINDER SUMP PUMP
X
$6.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X
$8.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$6.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS r ouUeQ
NITROUS, OXYGEN
X
$6.00
-
20
MISCELLANEOUS PLUMBING
FIXTURE
$6.00
-
21
PRIVATE SEWAGE DISPOSAUSYS
tx$20.00
INDUSTRIAL WASTE22 INTERCEPTOR1500
-
METHOD OF PAYMENT:
ElCASH [I CHECK [J VISA ❑ MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
til—
BANKCARD
AUTHORIZED SIGNATURE:
a/1 MECHANICAL PERMIT APFLICAi50N
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Address:
Owner.
Mailing Address:
Contractor: _
Mailing Address:
Community Development Gepartr4ent
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
Phone #:
AUTHORIZED
DESCRIPTIONOF WORK
9 O UMTS X
COST TOTAL AMOUNT
1
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 ditional FeeEqual
to w less than 400,000
X
$50.00 =
4
UNLISTED APPLIANCE Additional Fee
More than 400,000
X
$100.00 =
5
USED APPLIANCE EC min. AFUE rating)
E ual to or less than 400,000
X
$50.00 =
8
USED APPLIANCE SEC min. AFUE ratio
More than 400 000
X I
5100.00 =
7
BOILERIREFRIGERATION
1 - loom BTU
X
$12.00 =
8
SOI LERIREFRIGERATION
101 - 500M BTU
X
$20.00 =
ERIREFRIGERATION
501 -1 0WM BTU
X
225.00ERIREFRIGERATION
1 001 - 1750M BTU
X
$35.00ERIREFRIGERATION
Mae than 1,750M BTU
X
580.00
LOG GAS INSERT GAS FIREPLACE
X
$10.DDGE
X
570.00ER
EBOILE
X
510.00
BURNING WATER HEATER
X
$10.00.
FUEL BURNING APPLIANCE
X
510.00
PIPING each
X
$1.00T
SYSTEMS
X
$10.00 =
19
VENTILATING FANS
X
$10.00 =
20
AIR HANDLER ES NOT include ducting)
uel tD w less than 10.000 CFM
X
$12.00 =
21
AIR HANDLER DOES NOT include ducting)
Greater than 10 ODO CFM
X
$15.DD =
22
EVAPORATIVE COOLERS
X
$10.00 =
23
TYPE I HOOD
X
$50.00 =
24
TYPE II HOOD
X
$10.00 =
25
HEAT PUMPIAIR CONDITIONER
0-3 TON
X
$12.00 =
28
AIR CONDITIONER
3-15 TON
X
$20.00 =
27
AIR CONDITIONER
1530 TON
X
525.00 =
28
AIR CONDITIONER
30-50 TON
X
$35.00 =
29
AIR CONDITIONER
More than 50 TON
X
$60.DD =
30
LPG STORAGE TANK
X
5110.00 =
31
WOOD OR PELLET STOVEIINSERT
X
$10.00 =
32
WOOD STOVE - FREE STANDING
X
$25.00 =
33
REPAIR 5. ADDITIONS
X
$15.00
34
VENTILATION SYSTEMS
X
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
W
INCINERATOR -RESIDENCE
X
$18.00
37
INCINERATOR -COMMERCIAL
X
522.00
METHOD OF PAYMENT:
i] CASH ❑ CHECK ❑ VISA ❑ MC
CARD II
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE $35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED