2008, 05-27 Permit App: 08001970 Plumbing FixturesSpokane
40,10Ualley.
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.snokanevallev ore
Community Development
Plumbing Permit Application In Commercial
CVO
PERMIT FEE: 57r --
PERMIT
PERMIT NUMBER:
❑ Residential
SITE ADDRESS: 7/7 Ottr Ber$43,.t'9
Building Owner
Name: CA tt, 40„."—e...._
Phone:
Fax:
Address: // '/ P See-wte
City: .44,1-4,1" e
State: Wry
Zip: Gte
�g
Contractor
Name: TLC CONSTRUCTION
Phone: 509-456-3687
Fax:
Address: 9006 S. HAYFORD RD.
City: CHENEY
State: WA
Zip: 99006
License No: TLCCO**107M6
City Business Lic: 601263777
Contact
-
Name: TERRY COURCHAINE
Phone: 509-456-3687
DESCRIPTION OF WORK
# OF UNITS X
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
1
X
56.00
6/00
2
URINALS
X
$6.00
3
TUBS
X
58.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
l
X
$8.00
c PO
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
X
56.00
8
GARBAGE DISPOSAL
X
56.00
9
WATER SOFTENER
x
58.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
58.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$8.00
13
FOUNTAINS, DRINKING
X
56.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
56.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$8.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
56.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
58.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
58.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
58.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
56.00
21
PRIVATE SEWAGE DISPOSAVSYS
X
520.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
DCASH D CHECK D VISA DMC
Card#
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED 8/26/05