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2004, 06-24 Permit App BLD-04-04706 Plumbing ReversalS°po°`kan"' ;o0valley ����// ��/✓�u t�`PLUMBING PERMIT APPLICATION �93CityofSpokane Valley Community Development Department Buildin Division Project Address: • % w "INEW Mailing Addl Contractor. &rIT,Ftlltinrerrnrrrr 9 11707E Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036, Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Permit Use: Phone (Daytime Contact): BANKCARD NUMBER: AUTHORIZED SIGNATURE: 1.9 DESCRIPTION OF WORK #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 ER TRAP BATH, STALL, ONSITE BUILT X $6.00 - 5 SINKS LAVSBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CUUNARY/MEAT X $6.00 = 6 DISHWASHER X $6.00 - 7 CLOTHESWASHER 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 12 ROOF DRAINS/OVERFLOW DRAINS - 13 FOUNTAINS DRINKING X $6.00 - 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL INSTALLATION, 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 BB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6.00 = 17 CROSS CONNECTION DEVICE VACUUM BREAKER CHECK VALVE, AND RP.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 roWet NITROUS OXYGEN X $6.00 - 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 - METHOD OF PAYMENT: ❑ CASH ❑ CHECK ❑ VISA ❑ MASTERCARD DATE EXPIRES: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: % BANKCARD NUMBER: AUTHORIZED SIGNATURE: 1.9 *lane4,.1` Malley MECHANICAL PERMIT APPLICATION City of Spokane Valley Community Development Department 8uildingDivision 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Project Address: Permit Use: Owner. Phone (Daytime Contact): Mailing Address' Contractor. License #: Mailing Address: City State Phone #: Zip Code State D FUEL BURNING APPLIANCE Equal to or less than 100 000 X $15.00 = 1 FUEL BURNING APPLIANCE More than 100,000 X $19.00 = 2 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400.000 X $50.00 = UNLISTED APPLIANCE (Additional Fee) More than 400.000 X $100.00 = 4 5 USED APPLIANCE (WSEC min. AFUE Equal to or less than 400,000 X $50.00 = rating) USED APPLIANCE (WSEC min. AFUE More than 400,000 X $100.00 = 6 7 rating) BOILER/REFRIGERATION 1 - 100M BTU X $15.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $28.00 = 9 BOILER/REFRIGERATION 501-1,000M BTU X $39.00 = 10 BOILER/REFRIGERATION 1 001 -1 750M BTU X $57.00 = BOILER/REFRIGERATION More than 1 750M BTU X $95.00 = 11 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 = RANGE X $10.00 = 13 14 DRYER X $10.00 = FUEL BURNING WATER HEATER X $10.00 = 15 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) X $1.00 = 18 DUCT SYSTEMS X $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 10.000 CFM X $19.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE t HOOD X $50.00 = 24 TYPE II HOOD X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 03 TON X $12.00 = 26 AIR CONDITIONER 3-15 TON X $20.00 = 27 AIR CONDmONER 15-30 TON X $25.00 = 28 AIR CONDITIONER 30-50 TON X $35.00 = 29 AIR CONDITIONER More than50 TON X $60.00 = 30 LPG STORAGE TANK - X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X $10.00 = 32 WOOD STOVE - FREE STANDING X $25.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK 0 VISA Q MC DATE SUBTOTAL PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: Zip Code AUTHORIZED SIGNATURE: