2006, 12-05 Permit App 06004725 Mechanical FixturesSpo�kanee
Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
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PERMIT NUMBER:
Mechanical Permit Application n Cemmercrg dentiai
PERMIT FEE:
SITE ADDRESS: & re)-3 69
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Building Owner j c c, ,_
Name: si. .:_x 11•,t r r i'3�� 0%c ) ve:_ t a' ,-k.c.Phone: ci Gi i _ 1 Li t).- Fax:
Address: J State:
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Zip
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Contractor 0 \,�x•-' Z
Name: Phone: Fax:
Address: City: State:
Zip:
License No: City Business Lic:
Contact
Name: ✓e F / a. G. k l> 0 k' 4-_S Phone:
DESCRIPTION OF WORK
# OF UNITS
COST
= TOTAL AMOUNT
1
2
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or less than 100,000
More than 100,000
$12.00
$15.00
3
4
5
6
7
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
USED APPLIANCE (WSEC min. AFUE rating)
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
Equal to or less than 400,000
More than 400.000
Equal to or less than 400,000
More than 400,000
1 - 100M BTU
X
X
$50.00
$100.00
$50.00
$100.00
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
$25.00
10
BOILER/REFRIGERATION
1,001- 1.750M BTU
$35.00
11
BOILER/REFRIGERATION
More than 1,750M BTU
$60.00
12
GAS LOG. GAS INSERT, GAS FIREPLACE
$10.00
13
RANGE
$10.00
14
DRYER
$10.00
15
FUEL BURNING WATER HEATER
X
$10.00
16
MISC. FUEL BURNING APPLIANCE
$10.00
17
GAS PIPING (each outlet)
$1.00
18
DUCT SYSTEMS
$10.00
19
VENTILATING FANS
$10.00
20
21
22
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
Equal to or less than 10,000 CFM
Greater than 10,000 CFM
$12.00
$15.00
$10.00
23
TYPE I HOOD
$50.00
24
TYPE II HOOD
$10.00
25
26
HEAT PUMP/AIR CONDITIONER
AIR CONDITIONER
0-3 TON
3-15 TON
$12.00
$20.00
la.
27
AIR CONDITIONER
15-30 TON
$25.00
28
AIR CONDITIONER
30-50 TON
$35.00
29
AIR CONDITIONER
More than 50 TON
$60.00
30
LPG STORAGE TANK
$10.00
31
WOOD OR PELLET STOVE/1NSERT
$10.00
32
WOOD STOVE - FREE STANDING
$25.00
33
REPAIR & ADDITIONS
$15.00
34
VENTILATION SYSTEMS
$12.00
35
VENTILATION MECHANICAL EXHAUST
X
$12.00
36
37
INCINERATOR - RESIDENCE
INCINERATOR - COMMERCIAL
x
X
$19.00
$22.00
METHOD OF PAYMENT:
❑CASH j CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
_ Permit Center
Spokane ®` 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development vww.spnkanevallev.ore
Numbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial 7 Residential
SITE ADDRESS:
Building Owner
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
Contractor
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact
Name:
Phone:
DESCRIPTION OF WORK
#OF UNITS X
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
X
$6.00
2
URINALS
X
$6.00
3
TUBS
X
$6.00
4
5
SHOWERS (PER TRAP)
SINKS
BATH, STALL, ON -SITE BUILT
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY. UTILITY. JANITOR, PHOTO,
X-RAY, FOOD; PREP/CULINARY MEAT
X
X
$6.00
$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 DRAINS/OVERFLOW DRAINS
X
$6.00
13
FOUNTAINS, DRINKING
X
$6.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT. PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
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
$6.00
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
20
MEDICAL GAS (per outlet)
MISCELLANEOUS PLUMBING FIXTURE
NITROUS. OXYGEN
X
X
$6.00
$6.00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 6/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: