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2003, 05-30 Permit App: BD03-539 Plumbing Fixtures
-- Qr1'aF Spokane' .000Valley Plumbing Permit Application LETHOD OF ] CASH ATE: 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037- Fax For Inspections, call 509-688-0054 PROJECT n ADDRESS' 9os S Rn-7O� PERMIT USE: J'p,t.-J3 3 OWNER: / FS A cr. PHONE (Daytime Contact): 2 /,_ --7,..25.--7,..25.._MAILING ADDRESS: -3 1 i 11 4Z -d ipo k-ih. c to tq gr? / —I OW f (street) $6 (city/stat) (ZIP) CONTRACTOR l4Lwc b� /44,�4��I LICENSE 0: fiziAn 4( 482 4. L 0 MAILING ADDRESS: PHONE #: 2r»- -go--R (street) (city/state) (ZIP) . PLUMBING FIXTURES INKCARD NUMBER: JTHORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6 - /(_ 2 URINALS X $6 3 TUBS X - 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT I X $6 - 5 SINKS LAVS/BASINS, BAR, FLOOR KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT I X $6 - 6 DISHWASHER X $6 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X $6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA, CASE, COIL TRENCH, CONDENSATE X $6 - 12 FOUNTAINS, DRINKING X $6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X $6 - 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 16 CROSS CONNECTION DEVICE VACUUM BREAKER CHECK VALVE, AND AP.B.P.D. FOR: VATS, TANKS, BOILERS X - 17 SPRINKLER SYSTEM X 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK 'X - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT ;t _ ;_ SUBTOTAL: PZ / CDD PLUS PROCESSING FEE: $35.00 ._ YIS1;,- ■ Cvnr0CC- TOTAL PERMIT FEE DUE: ) 3 ba INKCARD NUMBER: JTHORIZED SIGNATURE: