2006, 07-11 Permit App: 06002646 Plumbing FixturesPermit Center
S okane 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.sonkanevallev.oro
Plumbing Permit Application n Commercial ® Residential
c Valley
PERMIT NUMBER ,Z624(4
PERMIT FEE: Srf
SITE ADDRESS:
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Building Owner
Name: 1J (L '!o‘ r_ 5 . `l1 ' I? O 114, e0
Phone: SO j' — SSA'Oggtax:
Address: 76 I.i' d E Cr4 r') r.5 (G. nitre
Ci O k 4Aie ltd. -7 State:
104
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Contractor :
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Name:
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Phone:.:
Fax:
Address:
City. State:
Zip:
License No:
City Business Lk:
Contact'..
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Name: f4 Ili (......s
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Phone: & 9 . 5.3 z " bQs 1�
DESCRIPTION OF WORK
R OF UNITS X
COST • =
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
56.00
2
URINALS
X
56.00
3
TUBS
1
X
56.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
x
56.00
5
SINKS
LAVS/BASINS, BAR FLOOR KITCHEN,
LAUNDRY, UTILITY, JANITOR PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
56.00
6
DISHWASHER
X
56.00
7
CLOTHES WASHER
X
56.00
6
GARBAGE DISPOSAL
X
56.00
9
WATER SOFTENER
X
56.00
10
ELECTRIC HOT WATER TANK
NOTE:. IF GAS, SEE MECHANICAL
X
$600
11
FLOOR DRAINS
AREA CASE, COIL, TRENCH,
CONDENSATE
X
56.00
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
56.00
15
SEWAGE EJECTOR
GRINDER SUMP PUMP
X
56.00
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
$6.00
16
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
58.00
20
MISCELLANEOUS PLUMBING FIXTURE•
X
56.00
21
PRIVATE SEWAGE DISPOSALSYS
X
520.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
515.00
METHOD OF PAYMENT:
CASH D CHECK 0 VISA 0 MC,
Card#
AUTHORIZED SIGNATURE:
REVISED 8126/05
EXPIRES:
. VIN:
SUBTOTAL
PROCESSING FEE
535.00 '
TOTAL PERMIT FEE DUE: