Loading...
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: e • I► lab Building Owner - - Name C 1 T 1N� ���I���I Phone �� '�j� c---1 Fax Address.%—��1�` ,SI, N_ p6/ eOj C) J City. k \I Li,\NIA State: ZtP: CG 11c)1 Contractor Name: a:15- LF 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) �� r AUTHORIZED SIGNATURE REVISED 8/26/05