2007, 10-23 Permit App: 07004258 Sink, WasherSpokane
Permit CenterSprague
I 1703Permit
E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
�` �'ler (509)688-0036 FAX: (509)688-0037
val wwwsnokancvallev orG
Community Development
Plumbing Permit Application
� D \ N • f41 or'1 re•e-
PERMIT NUMBER: (/7c o
PERMIT FEE:
-1-
❑ Commercial O'Residential
SITE ADDRESS: j7i0S , 4 r4 r"t-" /oh i -
Building Os. nor
Name: .12\20/c/1[) t itr CS I�✓i
Phone: 7Z pZax:
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1
Address: 1 ? Cs fru (_ eP^1 M Rd
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City. �.oiany/Q} State
C� 4
Zip:
$7.2/a$7.2/aOh
Contractor e7e`.,
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Name:
Phone: Fax:
Address-
City: State:
Zip:
License No:
City Business Lie:
Contact
Name:
Phone
DESCRIPTION OF WORK
#OF UNITS X
COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
56 00
2
URINALS
X
$6 00
3
TUBS i
X
4
SHOWERS (PER TRAP).. .
BATH, STALL, ON-SITE BUILT •
X
5600 r
5.
SINKS. .
LAVS/BASINS, BAR,: FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
'$600
6
DISHWASHER •
X
56 00
7'
CLOTHES WASHER
l
X
5600
8
GARBAGE DISPOSAL
X
56 00
9
WATER SOFTENER
X
56 00 •
10
ELECTRIC HOT WATER TANK •.
NOTE: IF GAS, SEE MECHANICAL -
X
56 00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
56 00
12
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
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
$6 00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R P B P D. FOR: VATS, TANKS,
BOILERS
X
56 00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP.
CHEMICAL HOLDING TANK
X
56 00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56 00
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6 00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
515.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK 0 VISA 0 MC
Cardtt
AUTHORIZED SIGNATURE:
REVISED 826/05
EXPIRES:
VIN
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE: