The URL can be used to link to this page

2007, 10-19 Permit App: 07004212 Plumbing Fixtures�; � Permit Center arrn 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 4.0.00Valle� (509)688-0036 FAX: (509)688-0037 www spokanevallev ore Community Development Plumbing Permit Application Spokane PERMIT NUMBER: 1-/ I Z., PERMIT FEE: ❑ Commercial VrItesidential SITE ADDRESS: //'Z Building Owner Name: .QAC Phone: Fax: Address: a 1 . eirr /112/" City: L?j � _ / •Vw., i.$taSe: ��C 7 C ,g. Zip: 1�� Contractor Name Address: //�� / . L_� Roasts 6-��=�L. Phone: r��l/ i Fax: J 2�' �ii0 p`1� � City: ..e..--, �o State' ZiP9 der a•C,i 19; 10. L4 f� .a 9. License No: kge fry p `/�}��/i �/� '% / City Business Lic: Contact Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6.00 2 URINALS X $6.00 3 TUBS X $6.00 _ ((O 4 SHOWERS (PER TRAP) •. BATH, STALL, ON-SITE BUILT X $6.00 ..- 5 SINKS . LAVS/BASINS, BAR, FLOORIKITCHEN, LAUNDRY, UTILITY; JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT X $600; �2 6 DISHWASHER X :$600': ea 7 CLOTHES WASHER -- X $6 00 :. 8 GARBAGE DISPOSAL X $600 - 9 WATER SOFTENER X $6.00 10 ELECTRIC HOT WATER TANK ' NOTE: IF GAS, SEE MECHANICAL ' X $600 ' 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 NSTALLATION, 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 (per outlet) NITROUS, OXYGEN X $6 00 20 MISCELLANEOUS PLUMBING FIXTURE X $6 00 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 22 INDUSTRIAL WASTE INTERCEPTOR X $15 00 METHOD OF PAYMENT: ❑CASH 0 CHECK ❑ VISA 0 MC Card# AUTHORIZED SIGNATUR REVISED 8/26/05 SUBTOTAL PROCESSING FEE EXPIRES VIN. TOTAL PERMIT FEE DUE: orndG i $35.00 40-51fes'