2005, 06-15 Permit App 05002043 Sewer ReversalProject
Owner:
Mailing
Contractor:
Mailing Address:
PLUMBING PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
City
License
Permit Use:
Phone(Dav
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
;4 r Z'
me Contact): 0 - C/�—
Zip
Phone #:
BANKCARD
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
R OF UNITS
I X
I 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 ON-SITE BUILT
X
$6.00
-
LAVSBASINS, BAR, FLOOR, KITCHEN,
5
SINKS
LAUNDRY, UTILITY, JANITOR, PHOTO,
X
$6.00
-
X-RAY FOOD, PREP/CULINARY MEAT
6
DISHWASHER
X-
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
AR CASE, COIL, TRENCH CONDENSATE
X
$6.00
=
ROOF DRAINS/OVERFLOW
12
DRAINS
-
13
FOUNTAINS DRINKING
WATER PIPING/DRAIN-TE,
NSTALLATION, ALTERATION, REPAIR
X
$6.00
-
14
VENT PLUMBINb`, REVERSAL
REVERSALS
X
$6.00
-
15
SEWAGE EJECTOR
GRINDER. SUMP PUMP
X
$6.00
=
ICE AN/OR COFFEE MAKER, HOSE BIB,
18
WATER USING DEVICE
STEAMER
X
$6.D0
=
PROOFER CARBONATO SWAMP COOLER
VCUUM BREAR, CHECK VALVE,
17
CROSS CONNECTION DEVICE
AND RAP.B P D FORKVA S. TANKS,
BOILERS
X
$6.00
=
GREASE TRAP, SAND TRAP,
78
INTERCEPTORS
CHEMICAL HOLDING TANK
X
$6.00
-
19
MEDICAL GAS route
NITROUS, OXYGEN
X
MISCELLANEOUS PLUMBING
$8.00
=
20
FIXTURE
X-
27
PRIVATE SEWAGE DISPOSAUSYS
INDUSTRIAL—WASTE—
X
$20.00
22
INTERCEPTOR
X
$15.00
-
METHOD OF PAYMENT:
SUBTOTAL
❑ CASH ❑ CHECKPROCESSING
❑ VISA ❑ MASTERCARD
FEE
$35.00
DATE: EXPIRES:
TOTAL PERMIT FEE DUE:
�-
BANKCARD
AUTHORIZED SIGNATURE:
Project Address:
Owner:
Mailing Address:
Contractor:
Mailing Add-
ress:
MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-00'34
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Permit Use:
Phone (Daytime Contact):
Phone #:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
# OF UNITS X
COST
TOTAL AMOUNT
I
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
-
2
FUEL BURNING APPLIANCE
More than 100 000
X
$15.DD
-
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 SEC min. AFUE ratio
Equal to or less than 400,00D
X
$50.00
-
e
USED APPLIANCE SEC min. AFUE ratio
More than 400,000
X 1
$100.00
-
7
BOILERIREFRIGERATION
1 -100M BTU
X
$12.01)
8
BOILER/REFRIGERATION
101 -500M BTU
X
$20.00
-
9
BOILER/REFRIGERATION
501 -1 OOOM BTU
X
$25.00
10
BOILERIREFRIGERATION
1,001 - 7 750M BTU
X
$35.00
-
11
BOILERIREFRIGERATION
More than 1,750M BTU
X
$80.00
-
12
GAS LOG GAS INSERT GAS FIREPLACE
X
$10.00
1 =
13
RANGE
X
$10.00
14 1
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
DUCTSYSTEMS
X 1
$10.00
-
19
VENTILATING FANS
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 10.0W CFM
X
$15.00
=
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE i HOOD
X
$50.00
=
24
TYPE 11 HOOD
X
$10.00
25
HEAT PUMP/AIR CONDITIONER
0-3 TON
X
$12.00
28
AIR CONDITIONER
3.15TON
X I
$20.00
27 1
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
$80.00
30
LPG STORAGE TANK
X
$10.00
=
31
WOOD OR PELLET STOVE4NSERT
X
$10.00
32
WOOD STOVE - FREESTANDING
X I
$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:
❑ CASH ❑ CHECK ❑ VISA 17 MC
CAROM
DATE:
EXPIRES:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00
AUTHORIZED SIGNATURE: