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2008, 07-01 Permit App: 08002522 Mechanical Fixtures
_ Permit Center S ox ne 11703 E Sprague Ave, Suite B-3 p Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevallev.or2 Plumbing Permit Application ❑ Commercial �MiHey PERMIT NUMBER: DM PERMIT FEE: Residential SITEADDRESS• 4'723 N LarcL - ar. 1"e- Va/by wsa�l. byo\ Building,Owner - ... )" ., .- ,. . _ Name: 5q4.-8kctfi r- Phone: 3.6.?,_ 95-a--.. ! Fax: Address:City:c y 3ka �a Al,ti� L� - e State: w Zip:??..2/6 Con tractor;';. '�'-� ''-.�-. :'. .; -7 ..: ..-.._-- __ - __ ,i ; ---. r�;::j._....: :.:.-.,;;_ ., Name: Supe_ Phone: Fax: Address. City: State' Zip: License No: City City Business Lie Ctacton ..d'e �.�r- .. -.. _?-�L`,;E _ t -.-i-._ ' Yy'_ _ . .._ Name: Phone: DESCRIPTION OF WORK II OF UNITS X COST = TOTAL AMOUNT 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 DISPOSALl 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 (OSE B19 STEAMER PROOFER, CARBONATOR, SWAMP COOLER x $6.00 &-DO 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE. AND R.P B P.D FOR VATS, TANKS. BOILERS X $6 00 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 56.00 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 METHOD OF PAYMENT: ❑CASH ❑ CHECK SSA ❑ MC Cardn AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES' VIN. SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: 41. 60