2009, 02-05 Permit App: 09000246 Plumbing FixturesPermit Center
Sfien" e 1 11703 E Sprague Ave, Suite 6-3
��alley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development pennitcenterV snokanevalley org
Plumbing Permit Application n Commercial ❑ Residential
PERMIT NUMBER: ( (P
PERMIT FEE: 5S-
SITE
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SITE ADDRESS: ?)c F.) N.
Building Owner
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Name( vi_Ie.t�--77 l Nhl P tmsc)r-id
Phone: (. f-- D'_
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Fax:
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Zip:C.�G,
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Addrss: Ezte-
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Contractor
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Name- " -i
Phone.
Fax:
Address:
City:
Slate.
Zip:
License No:
City Business Lic
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Contact ( `l .i —(tiL l l NIA \ Nie _i
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Name:
Phone: CID) _I 3rj(CI
DESCRIPTION OF WORK
# OF UNITS X
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
1
X
$6 00
2
URINALS
X
$6.00
3
TUBS
X
$6.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON -SBE BUILT
X
$6 00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
i
X
$6.00
6
DISHWASHER
X
$6 00
7
CLOTHES WASHER
X
$6 00
8
GARBAGE DISPOSAL
x
$6.00
9
WATER SOFTENER
X
$6 00
10
ELECTRIC WATER HEATER
NOTE IF GAS, SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
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
$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
$6.00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ID MC
Card#
AUTFIORIZED SIGNATURE;
REVISED 8/26/05
EXPIRES
VIN -
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: