2007, 11-19 Permit App: 07004599 Dishwasher,—qs Permit Center
Sjiiika`n" 7e 11703 E Sprague Ave, Suite B-3
Valley Spokane Valley, WA 99206
(509)688-0036 FAX (509)688-0037
Community Development www snokancvallev ore
Plumbing Permit Application
PERMIT NUMBER: 4,4s(g
PERMIT FEE:
n Commercial ❑ Residential
SITE ADDRESS:
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Building Owner
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Name C 1 T
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Phone
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Fax
Address.%—��1�`
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City.
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State:
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Contractor
Name: a:15-
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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
X
56.00
4
SHOWERS (PER TRAP). -
BATH, STALL, ON-SITE BUILT
X
$6.00
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
8
GARBAGE DISPOSAL
X
56.00
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
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
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 DISPOSAUSYS
X
520.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$1500
METHOD OF PAYMENT:
UCASH
Card#
❑ CHECK ❑ VISA 0 MC
EXPIRES
VIN.
SUBTOTAL
U. 60
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
4I'Ol)
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AUTHORIZED SIGNATURE
REVISED 8/26/05