2005, 03-30 Permit App 05001019 Plumb Reversalol�
PLUMBING PERMIT APPLICATION Community Development Department
Building Division
ne Phone: (509) 688-0036; FAX: (509) 688-0037 11707 E. Sprague Avenue, Suite 106
, 1e7 For Inspections, Call (509) 688-0054 Spokane Valley, WA 99206
E Miss 7 Ors/
Owner Iles/ �,. 51-tr.l,..
Mailing Address: %6,6 S m, SS/0 •✓
Project Address:
Contractor:
Mailing Address:
Permit Use:
Phone (Daytime Contact):
City
License #:
State Zip Code
Phone #:
City
State
Zip Code
DESCRIPTION OF WORK
1 # OF UNITS
X
. COST •
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS '
X
' $6.00 .
=
.
2
URINALS
X
56.00
=
3
TUBS •
--'
X
56.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON -SITE BUILT • .
X
56.00
=
5
•
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
'LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY. FOOD, .PREP/CULINARY MEAT
X
56.00
=
6
DISHWASHER
X
36.00
=
7
CLOTHES WASHER
X
$6.00
= •
8
GARBAGE DISPOSAL
X
55.00
=
9
X
$6.00
=
WATER SOFTENER -
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
56.00 '
_
.
11
FLOOR DRAINS
AREA, CASE. COIL. TRENCH, CONDENSATE
X
$6.00
=
12
'ROOF DRAINS/OVERFLOW
DRAINS
X
56.00
=
13
FOUNTAINS. DRINKING
•
X
56.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING. REVERSAL
NSTALLATION, ALTERATION, REPAIR,
• REVERSALS
X
56.00
=
.�
/_
�G
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
=
15
WATER USING DEVICE
ICE AN/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.O. FOR: VATS, TANKS, BOILERS
X
$6.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00 '
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00•
•
•
21
PRIVATE SEWAGE DISPOSAUSYS
X
520.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
315.00
=•
•
METHOD OF PAYMENT:•
CASH 0 CHECK 0 VISA 0 MASTERCARD
DATE: EXPIRES:
SUBTOTAL
PROCESSING FEE
$3 .00
TOTAL PERMIT FEE DUE:
i / £ (i
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
'MECHANICAL PERMIT APPLICATION
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, CaII (509) 688-0054
Community Development Departmen
Building Divisior
11707 E. Sprague Avenue, Suite 10E
Spokane Valley, WA 9920E
Permit Use:
Phone (Daytime Contact):
Gay
Contractor. License #: Phone #:
Mailing Address:
Project Address:
Owner:
Mailing Address
State
OF Code
sate
z' Code
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
FUEL BURNING APPLIANCE
Equal to or less than 100,000
X
$12.00
=
2
FUEL BURNING APPLIANCE
More than 100.000
X
$15.00
=
3
UNLISTED APPLIANCE (Additional Fee) •
Equal to or less than 400,000
X
550.00
=
4
UNLISTED APPLIANCE (Additional Fee) -
More than 400,000
X
5100.00
=
5
USED APPLIANCE (WSEC min. AFUE rating)
Equal to or less than 400,000
X.
550.00
=
6
More than 400,000
X '
$100.00
=
USED APPLIANCE (WSEC min. AFUE rating)
7
BOILER/REFRIGERATION
1 - 100M BTU
X
512.00
=
8
BOILER/REFRIGERATION
101 - 500M BTU
X
520.00
=
9
BOILER/REFRIGERATION
501 - 1,000M BTU
X
525.00
=
10
BOILER/REFRIGERATION
1,001-1,750M BTU
X
$35.00
=
11
BOILER/REFRIGERATION
More than 1,750M BTU
X
560.00
=
12
GAS LOG. GAS INSERT, GAS FIREPLACE
..
X
, Y10.00
=
13
RANGE
-X
$10.00
=
14
DRYER
i
X
510.00
=
15
FUEL BURNING WATER HEATER
X
510.00
16
MISC. FUEL BURNING APPLIANCE - --
X
$10.00
=
17
GAS PIPING (each outlet)
X
S1.00
=
18
DUCT SYSTEMS
X
510.00
=
19
VENTILATING FANS
X -
510.00
=
20
AIR HANDLER (DOES NOT include ducting)
Equal to or less than 10.000 CFM
X
512:00
=
,
21
AIR HANDLER (DOES NOT include ducting)
Greater than 10 000 CFM
X
S15.00
=
22
EVAPORATIVE COOLERS
X
510.00
=
23
TYPE I HOOD
-
X
550.00
=
24
TYPE II HOOD
X '
$10.00
=
25
HEAT PUMP/AIR CONDITIONER •
0-3 TON -
- '
X
. $12.00
• =
26
.AIR CONDITIONER .
3-15 TON
X
520.00 •.
._
27
AIR CONDITIONER
15-30 TON
X
$25.00
_
28
AIR CONDITIONER
30-50 TON
X
535.00
=
29
AIR CONDITIONER
More than 50 TON
X
560.00
=
30
LPG STORAGE TANK
X
S10.00
=
31
WOOD OR PELLET STOVFJINSERT
- X
510.00
=
32
WOOD STOVE - FREE STANDING
X
525.00
=
33
REPAIR &ADDITIONS
- -
X
515.00
=
34
VENTILATION SYSTEMS
X
' $12.00
=
35
VENTILATION MECHANICAL EXHAUST
_
_
X
512.00
=
36
INCINERATOR - RESIDENCE
X
$19.00 '
=
37
INCINERATOR -COMMERCIAL
X
522.00
METHOD OF PAYMENT:
0 CASH -0CHECK 0 VISA 0 MC
CARD #:
DATE
SUBTOTAL
PROCESSING FEE
535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE: