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2008, 07-21 Permit App: 08002818 Rough Plumbing
Permit Center Spbka`ne 11703 E Sprague Ave, Suite B-3 s `jalley Spokane Valley, WA 99206 ® (509)688-0036 FAX- (509)688-0037 Community Development www.spokanevallev.ore Plumbing Permit Application n Commercial PERMIT NUMBER: bB - a PERMIT FEE: Residential lc? SITE ADDRESS: _ /a3 /(/I /pals" /11:77C :Buildiri 'Banc?, ,260-47,.; _ y .,..; h: ' __a::5:`a i''' -._ -- -. -_ - s.r Name /02x iceese-7,- Rd Phone: Fax: Address: City: !ia, h4in J State: 461.57 zip, !�. .9;,..20_.2 -Contractor - ": - -' •--- - .': 4 . /C , • - - _ Name �� rim /-'a// Phone: Fax: Address: /a2 ^✓. Locrssr�shoo City:State: Cf/9F. /.�� Zip:99a6.e License No City BusAs Lic Contact, Name: Phone: DESCRIPTION OF WORK # 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 DISPOSAL 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 56.00 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING. REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X 56 00 a a?' 15 SEWAGE EJECTOR GRINDER. SUMP PUMP X 56 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 56.00 18 INTERCEPTORS GREASE TRAP. SAND TRAP, CHEMICAL HOLDING TANK X 56.00 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6 00 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 21 PRIVATE SEWAGE DISPOSAUSYS X 520 00 22 INDUSTRIAL WASTE INTERCEPTOR x $15.00 METHOD OF PAYMENT: ❑CASH 0 CHECK ❑ VISA 0 MC EXPIRES Card# VIN. AUTHORIZED SIGNATURE: REVISED S/26/05 SUBTOTAL PROCESSING FEE TOTAL PERMIT FEE DUE: 750 19,1-o6 3 sa t19 - Pair