2007, 02-09 Permit App: 07000399 Plumbing FixturePermit Center
Spokane 11707 E Sprague Ave, Suite
Spokane Valley, WA 99206
(509)668-0036 FAX: (509)6&8_0Q37
Community Development www.spokanevallev.ore I ED
Walley
ECEdNIE
FEBO92007
Plumbing Permit Application Commercial nKResidential
PERMIT NUMBER: 7-6349 q
PERMIT FEE:
SITE ADDRESS: )loot`/ E .
oyULLuuLK' \.17J
DESCRIPTION OF WORK
0 O 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, ONSITE 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
6
GARBAGE DISPOSAL
X
$600
9
WATER SOFTENER
X
$6 00
10
ELECTRIC HOT WATER TANK
NOTE. IF GAS, SEE MECHANICAL
X
56 00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6 00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6 00
13
FOUNTAINS, DRINKING
X
56 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
X
$6.00
16
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
56 00
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20 00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
DCASH VCHECK D VISA
Card#
AUTHORIZED SIGNATURE:
REVISED 826/05
D MC
EXPIRES
VIN: •
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
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Name:
Phone: Fax:
Address./Loa z y E - fiERoy
Ci ty:�KRraE t(qu.FLl ls>f}, p
Contractorr
4.
Name: �.JER2y 5 G •
•Phone:
4� zee, SCnb Fax: G) to, • 5/244.:
Address: Ft o. 1304 3 a8
City: • RCQ�- !) State: (vg , Zip: G�p�
License No: e'e2y� e (ss Alb
City Business Lic: C 40e45 C f ZO —71‘0
Contact _'<-.. ..-i,.;.;;
>. `r :il
:i
-_... - 'i_,__._.._-' - -._., - .�
,nay
Name: jrQ• / �('�'.•
Phone: • 5 401D
DESCRIPTION OF WORK
0 O 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, ONSITE 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
6
GARBAGE DISPOSAL
X
$600
9
WATER SOFTENER
X
$6 00
10
ELECTRIC HOT WATER TANK
NOTE. IF GAS, SEE MECHANICAL
X
56 00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6 00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6 00
13
FOUNTAINS, DRINKING
X
56 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
X
$6.00
16
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
56 00
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20 00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
DCASH VCHECK D VISA
Card#
AUTHORIZED SIGNATURE:
REVISED 826/05
D MC
EXPIRES
VIN: •
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
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