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: