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2015, 06-01 Permit App: BLD-2015-1252 Plumbing FixturesPermit Center I Project #0147-6 -Wane 11707 E Sprague Ave, Suite 06 RECEIVED Dalley Spokane Valley, WA 99206 (509)688-0036 FAX: (509 8-0037 Community Development www.sookanevallev.orz.conl Plumbing Permit Application 1 o Commercial %Residential JUN 0 1 2015 A/ }- / �' iivli VCIv 1 CM SITE ADDRESS 2 —3 /V 4r-,—; Vim 1SIJH # I I mal/ u I .r. in s;, . t is L -a.rf" ."�"+•a. S-' ' T k -c> t ti. i�' -v.. ��nva�/,x'�.��.-.�.-� �.. �:._L�'- . n7s`w+,. ���:�.:��'�', �.�1= r v. :.bP,'('�V! � �Byl ,igR�o}Yo.^r���_�_ �y Name: Qjavr 1-0118' £ott (,-tis Ent& 1 t <Y1 Phone: Fax B OF UNITS Address: City State Zip �' www Y±• ._- ,. r :-. a .r. `.: v3 Y d' it'y.eri.a ori .a _•3�'a �o. w.1r wy-:c'� _ . ve:•M. I-. {.,n.��`•, .=="�L. �.x-mil'•s" =Fait ?-."^> ,..,`..,ser Name: &Old Seg 1 071.br Phone: S6et-Sas-59Y6 Fax: $8.00 Address: City State Zip License No: City Business License No: ^i. Eat T's`ar.: n• 4 Zali t -i '�r5 t Jeg;r. Lr4?, S� x. � v� ?r x- �. ;;fr:7�*1 'itrer F' t .11 -t ,.� yn.r.,. t"Cae '. ZtliS- - s^ � _.. R a1 £ iTcert' 'fid hi +...�.�-.....,,... L 3 Name: Phone: AUTHORIZED SIGNATURE: REVISED8/2695 DESCRIPTION OF WORK - B OF UNITS X COST = TOTAL AMOUNT 1 TOILETS - WATER CLOSET, BIDETS Z X $8.00 = _ i 2- 2 URINALS X $6.00 = _ 3 TUBS Z X $8.00 = /2 4 SHOWERS _TER TRAP) BATH, STALL, ON-SITE BUILT X $6.00 = 5 SINKS I.AVSBASINS, BAR, FLOOR KITCHEN, LAUNDRY. UTIUTY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT Z J X $8.00 = — i 6 DISHWASHER 1 X $8.00 = 6 7 CLOTHES WASHER I X $8.00 =el 8 GARBAGE DISPOSAL X $6.00 =' 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE IF GAS, SEE MECHANICAL X $6.011 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 . = 13 FOUNTAINS, DRINKING - X $8.00 = 14 WATER PIPING/DRAIN4N WASTE. VENT PLUMBING. REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X $8.00 = 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 L 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 $8.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS_ X $20.00 -. 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK DATE: SUBTOTAL 66 0 VISA 0 MASTERCARD PROCESSING FEE $3500 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED8/2695