2004, 09-09 Permit App BLD-04-07598Project Address: / / 5 /7 ( //
Owner: hoz
Mailing Address: 2
Contractor.
Mailing Address: "3v2/ j) / (
- `(7c
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BurkfingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, .WA 99206
Phone: (509) 668-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use:
License #:
Phone (Daytime Contact):
64/
City
L,_
State
c6
Zip Code
Phone #: 2 s / - 30 s 8
State
Zip Code
DESCRIPTION OF WORK
tf OF
NITS
X
COST
= j
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
•. 2
URINALS
X
56.00
=
3
TUBS
X
56.00
=
4 1
SHOWERS (PER TRAP)
_
BA i H. STALL OF' SrTE SU1LT
X
56.00
=
5
SINKS
LAVSIBASINS, BAR, FLOOR,
' KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X
56.00
=
6
DISHWASHER
X
56.00
=
7
CLOTHES WASHER
X
56.00
=
6
GARBAGE DISPOSAL
X
56.00
=
9
WATER SOFTENER
X
56.00
=
10
ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
X
56.00
=
11
t
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
56.00
=
12
ROOF DRAINS/OVERFLOW DRAINS
X
56.00
I =
' 13
FOUNTAINS, DRINKING
X
56.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
INSTALLATION. ALTERATION,
REPAIR. REVERSALS
r
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
•
56.00
•
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK
VALVE, ANDRP.B.P.D. FOR:
VATS, TANKS, BOILERS
X
56.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
/ CHEMICAL HOLDING TANK
X
56.00
=
19
MEDICAL GAS Cper outlet)
NITROUS, OXYGEN
X
$6 00
—
20
MISCELLANEOUS PLUMBING FIXTURE
X
56.00
=
METHOD OF PAYMENT:
❑ CASH D CHECK ❑ VtSA 0 MASTERCARD
DATE EXPIRES:
SUBTOTAL
PROCESSING FEE
535.00
TOTAI. PERMIT FEE DUE:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
Sliblane
MECHANICAL PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildrngEtivision
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:
State Zip Code
Phone #:
Contractor. License #:
Mai ing Address:
City
c
State
DESCRIPTION OF WORK
#OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
FUEL BURNING APPGANCE
Equal to or less than 100,000
X
515.00
=
—2—
UEL-saRNINGAPPUANCE
Morettran 100,000
X
$18.00
=
3
UNLISTED APPLIANCE (Rddifional 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 to ortessthan 400,000
X
550.00
=
6
USED APPLIANCE (WSEC min. AFUE
rating)
Morethan400,000
X
$100.00
=
7
BOILER/REFRIGERATION
1 -100M BTU •
X
515.00
=
8
BOILER/REFRIGERATION
101- 500M BTU
X
528.00
=
9
BOILER/REFRIGERATION
501- 1,000M BTU
X
539.00
=
10
BOILER/REFRIGERATION
1,001-1,750M BTU
X
$57.00
=
tt
BOO ER/REFRIGERATION
Morethan 1,750M BTU
X
$95.00
=
12
GAS LOG, GAS INSERT, (AS FIREPLACE
X
$10.00
=
13
RANGE -
X
510.00
=
14
DRYER
X
$t0.00
=
15
FUEL BURNING WATER HEATER
X
Siam
=
16
MISC. FUEL BURNING APPLIANCE
X
$10.00
=
17
GAS PIPING (each outlet)
X
$1.00
=
18
DUCT SYSTEMS
X
51000
=
19
VENTILATING FANS
X
St0.00
=
20
AIR HANDLER (DOES NOT include ducting)
1 Equal to or less than 10800 GEM
X
$12.00
=
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10800 CFM
X
$19.00
=de
22
EVAPORATIVE COOLERS
X
$10.00
=
23
TYPE I HOOD
X
$50.00
=
24
TYPE It HOOD
X
510,00
=
25
HEAT PUMP/AIRCONDITIONER
- 83TON
X
$12.00
=
26
AIRCONDtONER
3-15 TON
X
$20,00
=
27
AIR CONDITIONER
15-36TON
X
$25.00
=
26
AIR CONDITIONER
30SOTON
X
$35.00
=
29
AIR CONDITIONER
Morethan50TON -
X
$60.00
=
30
LPG STORAGE TANK
-
X
$10.00
=
• 31
WOOD OR PELLET STOVE/INSERT
X
$10.00
=
32
WOODSTOVE - FREE STANDING
X
$25,00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK ❑ VISA 0 MC
CARD
DATE:
SUBTOTAL
PROCESSING FEE
$35.00
EXPIRES:
TOTALPERMIT FEE DUE
Zip Code
AUTHORIZED SIGNATURE: