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2006, 10-18 Permit App: 06004168 Plumbing Fixtures
r Permit Center Spii}ianeeat 11707 E Sprague Ave, Suite 106 Valley Spokane Valley, WA 99206 A (509)688-0036 FAX: (509)688-0037 Community Development www spokanevallev.org Plumbing Permit Application ❑ Commercial PERMIT NUMBER: 211 1/21 PERMIT FEE: 441 — 1 ❑ Residential SITE ADDRESS: /2 /6 N LJ CUSP BuildingOwner ,- Name: /I n clic y /l �W !— to ///,' a/%,- 2-gq Phone: 5ZO73$ —i79J Fax: kr-An 52? 5-_3‘ 74,72 Address 3 % Z -, ` 32-,gvL CityState' t^'d Zip:97 23 Contractor `�f'�ohc Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: .Contact - ._ Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST TOTAL AMOUNT 1 TOILETS WATER CLOSET. BIDETS 1 X $6 00 2 URINALS X $6.00 3 TUBS 1 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 HOT WATER TANK 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, 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 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 $6 00 21 PRIVATE SEWAGE DISPOSAL/SYS X $20 00 22 INDUSTRIAL WASTE INTERCEPTOR X $15 00 METHOD OF PAYMENT: UCASH 0 CHECK 0 VISA 0 MC EXPIRES. Card# VIN AUTHORIZED SIGNATURE: REVISED &26105 SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: