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2008, 04-25 Permit App: 08001556 Plumbing FixturesPermit Center 11703 E Sprague Ave, Suite B-3 Spo�aiie- ,,,,.1FValley Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevallev.ora Plumbing Permit Application PERMIT NUMBER: _ !� PERMIT FEE: n Commercial ❑ Residential SITE ADDRESS: \CT -1 \ mp\ce� Building Owner , i. Fax: Name: i\- t__ , I d %` i ` Phone: C Jl!.—i (74-2 Address:Cit : State-or,Zi 9 Contractor - :. , " .." .. 11 Name: Phone: Fax: Address: City: State: Zip: License No: City` Business Lic: Contact Name: Phone: DESCRIPTION OF WORK • # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6.00 = 2 URINALS X $6.00 = 3 TUBS X $6.00 = 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 $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 I1 X $6.00 = (��,_� Th 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 0 MC EXPIRES: Card# VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: -4 1.00 AUTHORIZED SIGNATURE: REVISED 8/26/05