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2004, 10-14 Permit App: BLD-04-07922 Plumbing FixturesSfio'lane Valley Project Address: PAL -27 47:, PLUMBING PERMIT APPLICATION City of Spokane Valley Community Devefopment Department BuildingDivksion 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: Owner: CL -6 AZ 16; Mailing Address: /V e361 7 Phone (Daytime Contact): 5.1. Contractor: License License #: City State Zip Code Phone #: Mailing Address: Zip Code City State BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIP11ON OF WORK urrs X ' COST TOT AMOUNT 1 TO(LETS WATER CLOSEr,X ' . c 0 0 2 URINALS X 26.00 3 TUBS X $6.00. *6.00 , 00 4 , STAU., ON$ITET 5 LAV/BASINS, BAR, FLOOR KITCIEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARYIMEAT X WOO = 6 ' ) 0 6 AS R*6.00 - — 7 CLOThESWASHER X*8.00 = 8 GARBAGE OOP X *8.00 .0 9 WATER SOFTENER 10 ELECTRIC HOT WATER TANK NOTE IFGAS, SEEMECIIANICAL X .00 11 FLOOR DRAINS AREA, CASE, COIL, TRENC CONDENSATE X $6.00 12ROOF 0RMNS1OVERFLOWDRANs*6.00 = 13 FOUNTAINS, DRINKING X*6.00 14 WATER RPM/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS • 38.00 '60 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X 38.00 36.00 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK' VALVE, AND R.P.B.P.D. FOR VATS, TANKS BOILERS X• 0.00 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6-00 19 MEDICAL GAS (per outlet NITROUS, OXYGEN X. X $6.00 38.00 20 MISCELLANEOUS PLUMBING FIXTURE METHOD OF PAYMENT: 0 CASH Q CHECK Q VISA Q MASTERCARD DATE: EXPIRES: SUBTOTAL A t) PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: 01, oh BANKCARD NUMBER: AUTHORIZED SIGNATURE: