PLUMBING PERMIT APPLICATION - Post Falls Idaho

1 PLUMBING PERMIT APPLICATION . Public Services Department 408 N. Spokane St. post Falls , ID 83854. Phone: (208)773-8708 Fax: (208)773-2505. BUILDING DIVISION. TYPE OR PRINT CLEARLY USING BLACK OR BLUE INK ONLY. Fill out all sections as fully as applicable in order to expedite the approval process. A separate building PERMIT APPLICATION is required for each structure including for each town house. PROPERTY INFORMATION. PROJECT ADDRESS: _____ SUITE/ UNIT #: _____. PROPERTY OWNER: _____ PHONE #: _____. ADDRESS (IF DIFFERENT THAN ABOVE): _____. CONTACT (IF DIFFERENT THAN OWNER): _____ PHONE #: _____. PROJECT DESCRIPTION: _____.

2 _____. VALUATION: _____ RESIDENTIAL PROJECT _____ COMMERCIAL PROJECT _____. ON THE REVERSE SIDE OF FORM YOU MUST MARK TYPES AND QUANTITIES. CONTRACTOR INFORMATION. CONTRACTOR: _____ PHONE #: _____. ADDRESS: _____ CITY, STATE, ZIP: _____. EMAIL ADDRESS: _____. Idaho LICENSE #: _____ EXPIRATION: _____. BACKWATER VALVE EXISTING: YES _____ NO _____. BACKFLOW PROTECTION NUMBER OF EACH SIZE. REDUCED PRESSURE BACKFLOW ASSEMBLY _____ _____. DOUBLE CHECK VALVE ASSEMBLY _____ _____. OTHER _____ _____. I hereby certify that I have read and examined this APPLICATION and know the same to be true and correct. This APPLICATION does not authorize any type of work to be started.

3 This APPLICATION becomes null and void if not purchased within 180 days from submittal date below. SIGNATURE OF PROPERTY OWNER/ AGENT/ OR CONTRACTOR DATE. PLEASE PRINT NAME. RESIDENTIAL FEE SCHEDULE QTY Amount TOTAL. Processing Fee on all permits 1 $ $ Bar Sinks $ Bath Tub, including shower $ Backflow Assembly (Building) $ Backflow Assembly (Landscape) $ Backwater Valve $ Clothes Washer $ Drain waste/vent piping, alteration/replacement each fixture $ Floor Drains/Hub Drains $ Gas Piping $ Kitchen Sinks and/or dishwasher $ Lavatory (wash basins) $ Lawn Sprinklers from water connect through backflow device $ Mobile Home W/S Hook up $ Other $ Radiant Heat (Quantity equals # of zones) $ Sewer Ejector/Sump Pump $ Sewer Service $ Showers $ Utility Sinks $ Water Closet (toilet)

4 $ Water Heater $ Water Piping, alteration or replacement, each fixture $ Water Service $ Water Softener $ Residential Fire Sprinkler Supply from Domestic Water System $ up to 16 Heads Residential Fire Sprinkler Supply from Domestic Water System $4 per head 17 Heads and up COMMERCIAL FEE SCHEDULE $. CONTRACT PRICE: OFFICE USE ONLY. 3% of contract price up to and including the 1st $20,000. 2% of contract price in excess of $20,001 through $100,000. 1% of contract price in excess of $100,000. % of contract price in excess of $200,000. PLAN REVIEW FEE. TOTAL (MINIMUM FEE $ ).