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2003, 06-02 Permit App: 03003818 Sewer
METHOD 0 0 CASH Spokane .,,'Valley Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspec*•-ions, call 509-688-0054 PROJECTPERMIT ADDRESS: Si' 1/4116 If / . 0 USE: OWNER $ Ari bay, ► ` C - l� PHONE (Daytime Contact): q r- % ,, . ` e%yr / MAILING ADDRESS: sl i `11.- 6 /,o,, -p S,Dkriti tu9 9:n (street) (city/state) (ZIP) CONTRAC'RZ p lkiii/ LICENSE #: 1 MAILING A DRESS: 3 I 1 LI 3. (ir1 a PHONE #: __�, if (79'03 "7 (street) (city/state) (LW) PLUMBING FIXTURES DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION DETAILS It 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, ON-SITE 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 - 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 R.P.B.P.D. FOR: VATS, TANKS, BOILERS x $6 - 17 SPRINKLER SYSTEM X $25 - 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 ❑ CHECK 1 r- `\ VISA- Inst d' '. _ � 1 SUBTOTAL: ( U-00 PLUS PROCESSING FEE: $35.00 ■ ■ :_._._.__ , A l} l TOTAL PERMIT FEE DUE: 4 (.00 DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: