HomeMy WebLinkAboutPermit: BLD-2012-0484 Plumbing Fixtures1S' ii(oi
Community Development
Plumbing Permit
I'crniit Center
11707 G Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)658-0036 FAX:(509)688-0037
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Application ❑ Commercial D( Residential
SITE ADDRESS
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# OF UNITS
Name: O;AN&(>Ad R -o 1- Com- st
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City State
3
Zip
$6.00
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Name: W id Seal Ake . ' (,a.A i cal
Phone: Fax:
City State
$6.00
Zip
Address:
License No:
City Business License No:
-7
..
X
$6.00
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BATH, STALL, ON-SITE BUILT
Name:
Phone:
$6.00
=
AUTHORIZEDSIGNATURE
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET. BIDETS
3
X
$6.00
=
i p
2
URINALS
X
$6.00
=
3
TUBS
-7
..
X
$6.00
=
12
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
1
X
$6.00
=
Z 4
6
DISHWASHER -
1
X
$6.00
=
4
7
CLOTHES WASHER
-
1
X
$6.00
=
G
8
GARBAGE DISPOSAL
X
$6.00
=
9
WATER SOFTENER
X
$6.00
=
70
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6.00
2
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
=
'
77
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 DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
DATE: -
SUBTOTAL
7?
0 VISA 0 MASTERCARD
PROCESSING FEE
- 535.00
EXPIRES:
TOTAL PERMIT FEE DUE:
AUTHORIZEDSIGNATURE
REVISED 8/26/05