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2007, 08-16 Permit App: 07003229 Plumbing FixturesPermit Center Spokane 11707 E Sprague Ave, Suite 106 VAlley Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development eww spokanevallev,oria Plumbing Permit Application n Commercial Residential PERMIT NUMBER: :2;27_9 PERMIT FEE: SITE ADDRESS: 702 e /s/E_ Bmldmg Owner _,...1 ...01 Q/-'7 Name.0-1A� / , /� Q Phone: 9 Ei �� �! Fax: / .� 7n4f / �����E Address: l\y5 Ci State: Z� -7 co rr�;sl��1�v�,�/ c,�� p2/7 Contractor. 3 : `.,: � ,. .... .... '; �: /Ilii ' - . .. : --. .... �. � .. .. Name: 1V � Phone: Fax: Address: City: State: Zip: License No: City Business Lic: f1. , r af Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST = TOTAL/AMOUNT 1 TOILETS WATER CLOSET, BIDETS / X $6.00 = 10 2 URINALS X $6.00 3 TUBS X $6.00 = 4 SHOWERS (PER TRAP) BATH. STALL. ON-SITE BUILT / X $6.00 = / Id 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEATI • X $6.00 = 6 DISHWASHER X 56.00 7 CLOTHES WASHER X $6.00 = 8 GARBAGE DISPOSAL X $6.00 = 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X 56.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 12 ROOF DRAINS/OVERFLOW DRAINS X 56.00 13 FOUNTAINS, DRINKING X • 56.00 = 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 = 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 $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X 56.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20,00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = METHOD OF PAYMENT: DCASH ❑ CHECK 0 VISA ❑ MC EXPIRES: Card# VIN: SUBTOTAL /S' O(Jt PROCESSING FEE 535.00 TOTAL PERMIT FEE DUE: 57-'a 60 AUTHORIZED SIGNATURE: REVISED 6/26/06