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2004, 09-02 Permit App BLD-04-07555 Plumbing Fixturesjne �a11ey Project Address: � 4 • Owner: S C-1 _ Mailing Address: 1 0 Jo 6 Cnll I`UC PLUMBING PERMIT APPLICATION City of Spokane Valley Community Development Department BuildrngDivision 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): 4 a<C- /4 a'/1 Contractor. C O.J,2CtE Co } License #: Mailing Address t 3PIACDVE City (uF C Ci{ (2 PState Phone # City uLts State Zip Code va, ga'Ll S-24(1( qo Zip Code DESCRIPTION OF WORK #OF UNITS X = TOTAL. AMOUNT COST 1 TOILETS WATER CLOSET, BIDETS I X $6.00 = /! v • aO 2 URINALS X $6.00 = 3 TUBS X $6.00 = . 4 SHOWERS (PER TRAP) BATH, STALL, ONSITEBUILT i X $6.00 = (9- Oa 5 SINKS LAVS/BASINS, BAR, FLOOR KITCHEN, LAUNDRY, UTILTLY, JANITOR. PHOTO, X-RAY, FOOD, PREP/CULINARY/MEAT 1 X $6.00 = /p� }1� V , C/ 6 DISHWASHER X $6.00 = 7 CLOTHES WASHER X $6.00 = 6 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 X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 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 ICEAN/OR COFFEE MAKER HOSE BIB, STEAMER, PROOFER, CARBONATOR SWAMP COOLER X $6.00 = 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.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 (per outlet) NITROUS OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = METHOD OF PAYMENT: ❑ CASH 0 CHECK DATE' ❑ VISA 0 MASTERCARD SUBTOTAL C f i Lvv PROCESSING FEE --77 a r' TOTAL PERMIT FEE DUE: i-7T-"'" a S J L/ EXPIRES _... BANKCARD NUMBER AUTHORIZED SIGNATURE: Sfolane MECHANICAL PERMIT APPLICATION City of Spokane Valley Community 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 Project Address: Permit Use: Owner. Mailing Address Contractor: License #: Phone #: Phone (Daytime Contact): City State Mai ing Address: Zip Code c State DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 X $15.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $19.00 = 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X $50.00 = 4 UNLISTED APPUANCE (Additional Fee) More than 400,000 X $100.00 = 5 USED APPLIANCE (WSEC min. AFUE Equal to or less than 400,000 X $50.00 = rating) 6 USED APPLIANCE (IA/SEC min. AFUE rating) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1 - IOOM 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 = It BOILER/REFRIGERATION More than 1,750M BTU X 595.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 = 13 RANGE X $10.00 = 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER X $10.00 = 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) X $1.00 = Is 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 COOPERS X $10.00 = 23 TYPE I HOOD - X 1 $50.00 = 24 TYPE II HOOD X $10.00 = 25 HEAT PUMP/AIR CONDmONER 0.3 TON X $12.00 = 26 AIR CONDITIONER 3-15 TON X $20.00 = 27 AIR CONDITIONER 15-30 TON X $25.00 = 28 AIR CONDITIONER 30SOTON X $35.00 = 29 AIRCONOIT1ONER More than50 TON X $60.00 = 30 LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X - $10.00 = 32 X $25.00 = WOOD STOVE - FREE STANDING METHOD OF PAYMENT: El CASH 0 CHECK 0 VISA El MC CARD 3' DATE: SUBTOTAL PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE Zip Code AUTHORIZED SIGNATURE: