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2004, 02-11 Permit App BLD-04-03536 Plumbing FixturesMETHOD 0 ❑ CASH Spokane 4000%alley Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 ' 509-688-0037 - Fax For Inspections, call 509-688-0054 PROJECT ADDRESS: PERMIT USE: OWNER: PHONE (Daytime Contact): MAILING ADDRESS: (street) (city/state) (ZIP) CONTRACTOR: LICENSE #: MAILING ADDRESS: PHONE #: (street) (city/state) (ZIP) PLUMBING FIXTURES DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6 = 2 URINALS X $6 - 3 TUBS X $6 = 4 SHOWERS (PER TRAP) BATH, STALL, ON -SITE BUILT X $6 - 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT X $6 - 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X $6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6 - 12 FOUNTAINS, DRINKING X $6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS A X $6 - 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 - 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6 - 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT SUBTOTAL: VISA - ill -:° ] CHECK • ininigii ■ ._._._.__.__.... PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: c3r1 <iF iy Spok�n� ..Valley Mechanical Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 PROJECT L% -Z r FDA, _/� CJ c' PERMIT USE: OWNER:ADDRESS: /( //-7 ,f (v, ��'-i�i � StY1 Jn PHONE (Daytime Contact): MAILING ADDRESS: / ( / / l,aE) lc. 14)-7C c--<_-./f 7' zl -2 (street) (city/state) (ZIP) CONTRACTOR: , /.."- _ �6lA f1 LICENSE #: /4 44t---- 46 Cig Z l,fi MAILING ADDRESS: ----3c:, `Z ( 1, J7// �OZerg-, PHONE #: 25 /--go--6 (— G/t �� `2 / -2_(street) (ci state) (ZIP) METHOD OF PA ❑ CASH ❑ C DATE: DESCRIPTION OF WORK # OF UNITS X COST EQUALS AMOUNT 1 FUEL BURNING APPLIANCE • OR < 100,000 X $15 = 2 FUEL BURNING APPLIANCE > 100,000 X $19 - 3 UNLISTED APPLIANCE (ADDITIONAL FEE) = OR <400,000 X $50 - 4 UNLISTED APPLIANCE (ADDITIONAL FEE) > 400,000 X $100 = 5 USED APPLIANCE (WSEC min. AFUE rating) - or <400,000 X $50 • 6 USED APPLIANCE (WSEC min. AFUE rating) > 400,000 X $100 - 7 BOILER/REFRIGERATION 1 - 10DM BTU X $15 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $28 = 9 BOILER/REFRIGERATION 501-1,000M BTU X $39 - 10 BOILER/REFRIGERATION 1001- 1,750M BTU X $57 • 11 BOILER/REFRIGERATION +1750M BTU X $95 - 12 GAS LOG, GAS INSERT, GAS FIREPLACE - X $10 - 13 RANGE - X $10 = 14 DRYER - X $10 - 15 FUEL BURNING WATER HEATER -- X $10 = 16 MISC. FUEL BURNING APPL. - X $10 • 17 GAS PIPING (ea. Outlet) - X $1 - 18 DUCT SYSTEMS - X $10 - 19 VENTILATING FANS - X $10 - 20 AIR HANDLER (DOES NOT include ducting) = OR < 10,000CFM X $12 - 21 AIR HANDLER (DOES NOT include ducting) > 10,000 CFM X $19 = 22 EVAPORATIVE COOLERS - X $10 - 23 TYPE I HOOD - X $50 - 24 TYPE [I HOOD -- X $10 - 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12 - 26 AIR CONDITIONER 3-15 TON X $20 - 27 AIR CONDITIONER 15-30 TON X $25 - 28 AIR CONDITIONER 30-50 TON X $35 = 29 AIR CONDITIONER +50 TON X $60 - 30 LPG STORAGE TANK - X $10 - 31 WOOD OR PELLET STOVE/INSERT - X $10 • 32 WOOD STOVE - FREE STANDING - X $25 - 4IENT VISA SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: ❑ !i EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: