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2003, 07-16 Permit App: BLD-03-02035 Plumbing Fixtures
IOD OF ASH *Wane 4,0,0' T .11ey Plumbing Permit Application 11707 East Sprague Avenue, `'uite 106 509-688-0036 - Phone Spokane Valley, WA 19206 509-688-0037 - Fax For Inspections, call 509-688-0054 • PROJECT ADDRESS: PERMIT USE: OWNER: 4'6E/fD4 [-E(-cj/s PHONE (Daytime Contact): RZ4_ /494/- MAILING ADDRESS: r3i2.Af 2 E2 (street)Gl!`i ec SPdst. UliGue(`tty/state) - (ZIP) gg20 CONTRACTOR: /9:1oRR/N i.Seuitw 6...e_w (Je cc LICENSE #: WATER CLOSET, BIDETS MAILING ADDRESS: 2. z/3 Ei sAJ • /-vim, Iook-44/‘ dA-c-c.Ey 5 9za6, PHONE #: _ 89/— ZZ8 0 - (street) (city/state) (LIP) • PLUMBING FIXTURES EXPIRES: CARD NUMBER: ORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6 - 2 URINALS X $6 3 TUBS X $6 4 SHOWERS (PER TRAP) BATH, STALL, ONSITE BUILT X $6 5 SINKS LAVSBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT 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 - 15. - b e 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 RP.B.P.D. FOR: VATS, TANKS, BOILERS X $6 - 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK • X $6 - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT CHECK •'44'�s ._ - • SUBTOTAL: PLUS PROCESSING FEE: $35.00 ■ ■ . TOTAL PERMIT FEE DUE: EXPIRES: CARD NUMBER: ORIZED SIGNATURE: