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2005, 08-15 Permit App 05002919 Fuel Brng ApplMECHANICAL PERMIT APPLICATION (.: 29 f Phone: (509) 688-0036; FAX: (509)•13p-0037 �' For Inspections, Call (509) 688-0054 Community Development Department //�� Building Division W 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Project Address: Owner. Permit Use: Phone (Daytime Contact): Mailing Address: _ City Contractor. / / L_ �-� License #:'IPoTz, L ' u) Phone #: Mailing Address: by fee. /95 w E6 a CiN State ZIp Code State ZirfCode DESCRIPTION OF WORK # OF UNITS X COST = TOTALTAMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100.000( X $12.00 = / ;)% () L,l 2 FUEL BURNING APPLIANCE More than 100,000 • X $15.00 = 3 UNLISTED APPLIANCE (Additional Fee) Equal to or Tess 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 or Tess than 400,000 X $50.00 = • 6 USED APPLIANCE (WSEC min. AFUE rating) More than 400.000 X S100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 = 9 BOILER/REFR1GERATION 5D1- 1.000M BTU X $25.00 = 10 BOILER/REFRIGERATION 1.001- 1.750M BTU X $35.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = 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) 0 X $1.00 = 1 _ U U 18 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 $15.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X $50.00 = 24 TYPE 11 HOOD X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 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 30-50 TON X S35.00 = 29 AIR CONDITIONER More than 50 TON X $60.00 = 30 LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVE/1NSERT X $10.00 = 32 WOOD STOVE - FREE STANDING X $25.00 = 33 REPAIR & ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS' X $12.00 = 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR - RESIDENCE X $19.00 = 37 INCINERATOR -COMMERCIAL X $22.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK ❑ VISA 0 MC CARD At: DATE: SUBTOTAL PROCESSING FEE $35.00 TOTAL TOTAL PERMIT FEE DUE: 09 k _( )O AUTHORIZED SIGNATURE: PLUMBING PERMIT APPLICATION Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Cali (509) 688-0054 Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Project Address: Permit Use: Owner. Phone (Daytime Contact): Mailing Address: City Contractor. License #: State Zip Code Phone#: Mailing Address: city State Zip Code DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET. BIDETS X $6AD = 2 URINALS X $6.00 = 3 TUBS X $6.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON -SITE BUILT X $6.00 = 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY. FOOD. PREP/CULINARY MEAT X $6.00 = 6 DISHWASHER - X $6.0D = 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 (:OS. SEE MECHANICAL X $6.0D = 11 FLOOR DRAINS AREA CASE, COIL TRENCH. CONDENSATE X S6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS, DRINKING X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER. SUMP PUMP X $6.0D = 16 WATER USING DEVICE ICE AWOR 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 $6.13D = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK DATE SUBTOTAL 0 VISA 0 MASTERCARD PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: