2015, 06-01 Permit App: BLD-2015-1249 Plumbing FixturesIN
1Project #(
Permit Center RECEIVE
Spokane
coelw Valley
Community Development www.sookanevallev.ore.cant
Plumbing Permit Application 1 o Commercial!,Aigatesidential
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688,4037 JUN 0 1 ZIJb
SITE ADDRESS 7L;a3 N• A t:es ti!(— ..
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Phone:
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State
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Phone: Sca -Sig- 59etFax:
City
State
icense No:
City Business License No:
Zip
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Phone:
JTHORIZED SIGNATURE:
REVISEDe2ams
1
DESCRIPTION OF WORK
if OF UNITS
X
COST
=
. TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
2
X
88.00
=
12-
2
URINALS
X
8800
=
_
3
TUBS
2.
X
86.00
=
Lt
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
88.00
=
5
SINKS
LAVS/BASINS, BAR FLOOR KITCHEN.
LAUNDRY, UTILITY. JANITOR PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
88.00
=
—
/ 0
3
DISHWASHER •
1
x
moo
=
6
T
CLOTHES WASHER
1
X
88.00
=
6
I
GARBAGE DISPOSAL
X
88.00
=
1
WATER SOFTENER
X
86.00
=
0
ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
X
88.00
=
1
FLOOR DRAINS
AREASASE, COILTRENCH, CONDENSATE
X
86.00
=
2
ROOF DRAINS/OVERFLOW
DRAINS
X
88.00
. =
3
FOUNTAINS, DRINKING
X
88.00
=
$
WATER PIPING/ORAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR
REVERSALS
X
88.00
=
5
SEWAGE EJECTOR '
GRINDER, SUMP PUMP ..
X
86.00
=
3
WATER USING DEVICE
ICE AN/OR COFFEE MAKER HOSE BIB,
STEAMER_
PROOFER, CARBONATORSblAMP COOLER
X
I Z
'
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND RP.B.P.D. FOR VATS, TANKS, BOILERS
X
16.00
=
1
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
513.00
=
t
MEDICAL GASsper outlet)
NITROUS, OXYGEN
X
88.00
=
1
MISCELLANEOUS PLUMBING
FIXTURE
_
X
86.00
=
PRIVATE SEWAGE DISPOSAUSYS
X
820.00
=
INDUSTRIAL WASTE
INTERCEPTOR
X
815.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
DATE:
SUBTOTAL
1J / 6
0 VISA 0 MASTERCARD
PROCESSING FEE
835.00
EXPIRES:
TOTAL PERMIT FEE DUE:
JTHORIZED SIGNATURE:
REVISEDe2ams
1