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2004, 09-30 Permit App BLD-04-07816 Gas PipingSfiaane Project Ad . 'Owner.. Mailing Address: J� Contractor. Mailing Address: MECHANICAL PERMIT APPLICATION City of Spokane Valley Cont`rnunity Development Department BuildingDivision 11707 E. 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): S'`%I'`- 79/ City • License*: Phone #: . State . Zip Code DESCRIPTION OF WORK iFOF UNITS X - COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100 000 X 515.00 = t EuEC8URNONGAPPLtari.'E Morettran 100,000 X 579.00 = 3 UNUSTEDAPPLIANCE (Adddlonat 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 (WSEC min. AFUE rating) Equal tooriessthan 400,000 X 550.66 = 6 USED APPLIANCE (WSEC min. AWE rating) Morethan400,000 X S100.00 - - 7 BOILER/REFRIGERATION - 1 - SOOM BTU - X 315.00 _ D BON-ER/REFRIGERATION 101 - 500M BTU X 526.00 = 9 BOILER/REFRIGERATION 561- 1,000M BTU X 339.00 = / 10 BOILER/REFRIGERATION 1 e01 -1750M BTU X $57.00 = tt Mocethart 1 750M BTU X 545.00 BORER/REhttxutRALION t2 GAS LOG, GAS INSERT, GAS FIREPLACE _ _ X 510.00 = 13 RANGE X 510.00 = t4 DRYER X Stem = 15 FUEL BURNING WATER HEATER X $10.00 = 16 MISC. FUEL BURNING APPLIANCE - X MOO. = 11.J1 GAS PIPING (each outlet) - x S1A0 =, L -Ira t8 DUCT SYSTEMS Y51o.00 = 19 VENTILATING FANS - X S10.o0 = 20 AIR HANDLER (DOES NOT include ducting) • Equal to or less than 10,000 CFM X 51200 = 21 AIR HANDLER( DOES NOT include ducting) Greater than 10,000 CFM X $19.00 = 22 EVAPORATIVE COOLERS - X 510.o0 = 23 TYPE HOOD X $50.00 = 24 TYPE It HOOD X $10.60 = e 25 HEAT PUMPtAIR CONDITIONER ' 03 TON X 512.00 = 26 ' AIRCONOrONER 3-15 TON X $20.00 = 27 AIRCONDtTIONEt 15-3OTDN X 525.00 = 23 AIR CONDITIONER 30,50TON _ X $35.00 = 2s AIR CONDITIONER More Mar; 50 TON X $60.00 = 30 LPG STORAGE TANK - X $10.00 = ' a1 WOOD OR PELLET STOVE/INSERT X - $10.00 = 32 X 325.00 = WOODSTOVE- FREE STANDING METHOD OF PAYMENT: ElCASH 0 CHECK 0 VISA El MC CARD ft DATE. SUBTOTAL PROCESSING FEE $35.00 EFPtRES' TOTALPERMLT FEE DUE: AUTHORIZED SIGNATURE: C2t Zip Code „offiValley Project Address: Owner: Mailing Address: PLUMBING PERMIT APPLICATION City of Spokane Valley Community Development Department SuildingDivision 11707 E. 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): Contractor. License #: Mailing Address: City State Phone #: Zip Code City State Zip Code DESCRIP110N OF WORK *OF TOTAL UNITS X COST - AMOUNT 1 TOILETS WATER CLOSET, BIDETS ` X $6.00 = 2 URINALS - X 56.00 = 3 TUBS - X $6.00 _ 4 SHOWERS (FER TRAP) BATH. STALL, ON -SITE BUILT X S6.00 = 5 SINKS LAVSIBASINS, BAR FLOOR. KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY4MEAT X S600 = 6 DISHWASHER _. ._.. _. X .- $6.00 = 7 CLOTHES WASHER X 56.00 = 8 GARBAGE DISPOSAL X - $6.00 = 9 WATER SOFTENER X 56.00 = 10 ELECTRIC HOTWATER TANK NOTE IF GAS SEE MECHANICAL X $6.00 = 11 FLOOR DRAINS - AREA, CASE, COIL TRENCH, X 56.00 = CONDENSATE 12 ROOF DRAINS/OVERFLOW DRAINS , X . 56.00 = 13 FOUNTAINS DRINKING X I 56,00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL L 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 BM STEAMER, PROOFER. CARBONATOR, SWAMP COOLER X $6.00 = 17 CROSS CONNECTION DEVICE VACUUM BREAKERGHECK VALVE, ANDRP-BP,D. FOR: VATS TANKS, BOILERS X $6.00 = 18 INTERCEP URS GREASE TRAP, SAND TRAP, • CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN - X 56.00 = 20 MISCELIANEOUS PLUMBING FIXTURE X 56.00 = METHOD OF PAYMENT: ❑ CASH 0 CHECK 0 VISA 0 MASTERCARD DATE EXPIRES SUBTOTAL PROCESSINGFEE $35.00 TOTAL PERMIT FEE DUE: BANKCARDNUMBER: AUTHORIZED SIGNATURE: