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HomeMy WebLinkAbout2004, 10-06 Permit Application: BLD-04-07864 PlumbingSpo'n PLUMBING PERMIT APPLICATION City of Spokane Valley Community Development Department BuifdingDivision 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: Project Address: I I I Owner: iAr-- -1 7--c --L)--1 S ( --lam Mailing Address: C> /SOX 1 1/4-9-5't Contractor: Mailing Address: ���._ a►� �; Igo `,� S Phone (Daytime Contact): I ) - City State License #: Phone #: Zip Code City State BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS ' X $6.00 = (L G V 2 URINALS X $6-00 = 3 TUBS X $6.00 = STALL ON-SITE BUILT X $6.00 = 4 5 SHOWERS ER TRAP SINKS BATH, LAVSIBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X -RAY, FOOD, PREP /CULINARY/MEAT X $6.00 = V- u a 6 DISHWASHER X $6.00 = = = -• 7 CLOTHES WASHER X $6.00 B GARBAGE DISPOSAL X $6.00 9 WATER SOFTENER X $6A0 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 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.D_ FOR: VATS, TANKS, BOILERS X $6.00 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6.00 19 MEDICAL GAS • - r outlet NITROUS, OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = METHOD OF PAYMENT: ❑ CASH ❑ CHECK ❑ VISA ❑ MASTERCARD FYPIRFS. SUBTOTAL ■ 1 - 6 J PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code :323n1dNO!s a3zNoHln`d 3n0 333 11W213d iV101 S321IdX3 021VO 00'9£$ 333 ONIS933021d 31VO ON 0 VSIA❑ NO3H0❑ HSVO 0 1VIO18nS :IN3INAVd AO 00H13W = 00.SZS X ONJUNV1S 33213-3AO1S 000M Z£ = 00'01$ X 1213SNIT3AOIS 131134 310 000M lE = 00'01$ X NNV13OV2101S Odl O£ = 00'09$ X NOl 09 1.1e41 WoW 213NOI13GNO0 21IV 4 6Z = 00'5£$ X N0109-0E 213N01110NO0 21IV 8Z = 00-SZ$ X NO10£-SL 213NOI1JGNO0 21IV LZ = 00(ZS X NOl 91--£ 2J3N01I10NO0 21IV 9Z = 00.Z LS X NOl E-0 213N01110NO3 211V/c Wld 1V3H SZ = 00'01-$ X OOOH 11 3411 bZ = 00•09$ X 000H 1 3411 £Z = 00•01-S X SeI31003 3A111/210dVA3 ZZ = 00"61-S X MO 000'01 (5upnp apnpu!ION 9300)2131ONVH 21IV 1Z = 00'21-$ X 141.30 000'01 uey;ssai Jo o;!enb3 (601pnp 9P0101-1110N 5300)H310NVH 21IV OZ = 00'01$ X SNVd ONIIVl1IN3A 61 OCi u1S X SW3ISiAS 10110 8i OtIlS X 49400 yoee)ONldId SVO Lt = 30'01$ X 30NV11ddV ONIN21n8 13fld'OSJW 9l = 00'01$ X 2131V3H 213IVM ON1N21118 13nd 91 = 00-01S X 213,1210 I'1- = 00.01S X 3ON1/241 £t = 00'01S X 30V1d3211d SVO'I213SNI SVO'001 SVO ZL = 00'96$ x (118 WOSL'L ue41 aJoW NOIIV213O121d32112131108 11 = 007_9$ X f118 WOSL'1-1.00'1- NOI1M13OI21d321R1311O8 01- = 00'69$ x f118 W000'1--LDS NOI1V21301213321RJ31108 6 = 00'8Z$ X 1118 01009-LOL N0!1V2133121d323/2131108 8 00'91.$ • X {118 wool-L NOIIb413ORJ332JR1311O8 L = 00'001$ X 000'004 uely aJoyg (61-19e.1 9 3n3V u!u1 339M)33NVIlddV 03Sn = 00'09$ X 000'0017 uey;ssaj JO 04 lenb3 (64leJ g 3ndV'UIu1 339M)3ONVIlddV 03511 = oo oo $ x 000'Ooti ueyl amyl jaad!eu014!ppV)30NVI1ddV 03ISI1Nn 4 = 00'09$ X 000'004 uey;ssa!JO 0;!enb3 (aa3!euoy!ppV)3ONVIlddV O31SI1Nn £ = 00-611 X 000'001 ue41awon 33NVI1ddV ONJN2Jn813f13 Z ' = 00"91$ X 000'001 uey;SSa!Jo o;ienb3 3ONVI1ddV ON1N21118-3rd 1- 1NloWV = 1903 X SIINn )1210M d0 N011d1113S30 1V101 dOi# apoa d!Z ale1S 49 :sseJppy 6upiev :#auoyd :#esuaon :Jope4uo0 apoo d!Z alelS 43 :sseippy 6uilie J :(pewoo ewglea) auoyd uMQ :asa;!wJed :sseJppy Pafoad p900-999 (609) TWO `SNO113 dSNl NOd L£a0-999 (609) :xed:9£00-989(609) :auoyd 90266 ' ',fallen aua)ods Saj 90i a;ms anuanyan6elds 3zozlL uolwpedaa/m8 aiim0tis ;uaul/ledaa 4uawdolanap Alunluulo0�talleA aue>Jods Jo X110 d NOIlV011ddd 1IWi`13d 1VOINVH03W AID