2008, 11-10 Permit App: 08004456 Plumbing FixturesSook'an
4.0,00R -J
Community Development
Plumbing Permit Application (1 Commercial
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permucenter egsDokanevallev org
PERMIT NUMBER: C.41(0
PERMIT FEE: /37�
Residential
SITE ADDRESS: {iI
Building Owner
Name:Phone
Mu rIC .c,
' . Fax:
ctof 93 -7.-/37
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Address q II N 6 r IT j
City STA VC, kJ State: �A_
Zip- q12 06
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Contractor
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Name' M M16O {-'e/-
Phone: (z0�) pl'30 i Fax:
Address: PCS. s ok 33_bt 1/
City: k ci y dery le` k t State: ...4644,,„.
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Zip �'3 F3 5 --
-License
License No: M R t 0071,6 S 1 J &
City Business Lic:
Contact
- - - -
,1,1
Name /"61 l(c II e N,-, n t:
Phone (c 6 i ) t 1 }- t; -7_
DESCRIPTION OF WORK
#OF UNITS X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6 00
,z_
2
URINALS
3
TUBS
fi
a
X
$6.00
X
$6.00
l2
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
b
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
,3o
6
DISHWASHER
1
X
$6 00
7
CLOTHES WASHER
X
$6 00
6
8
GARBAGE DISPOSAL
X
$6 00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC WATER HEATER
NOTE IF GAS, SEE MECHANICAL
x
$6 00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
n
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
ff
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
21
PRIVATE SEWAGE DISPOSADSYS
25.
X
$6 00
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
METHOD OF PAYMENT:
UCASH /CHECK U VISA DMC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES
VIN.
7
X
$15.00
SUBTOTAL
10 2 --
PROCESSING
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: