2008, 09-12 Permit App: 08003600 Plumbing Fixtures'_� Permit Center
Spokane 11703 E Sprague Ave, Suite B-3
Spokane
Valley , WA 99206
(50 )688 0036Y FAX: (509)688-0037
Community Development www.spokanevalley.ore
- Plumbing Permit Application n Commercial
PERMIT NUMBER: e` -36
PERMIT FEE:
Residential
SITE ADDRESS: 523 5. L.)Ci Ileo CT
Building Owner-f04J:p--.'-F"cat
.,. .-
_ _. --
_-•
Name
00430 F LC r ^
Phone: c' )-, . g7aq
Fax: gq (. 4403
Address:
523 5. Luo tie
City: Cn„ . V
''.
State. WA_7
Zip. 912/
&
.'Contractor,
- - - i b)/1/
- .-
- - - _
-
Name:
Phone
Fax:
Address
City
State
Zip
License No:
City Business Lir
Contact
- _
- _
Name:TQ
G/YY
1c/
Phone 70.2793
7958
j) 0
DESCRIPTION OF WORK
# OF UNITS X COST
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6 00
(.00
2
URINALS
X
$6 00
3
TUBS
X
$6 00
6, 0 0
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
Z
X
$6 00
/Q. O
6
DISHWASHER
I
X
$6.00
(0 - Oct
7
CLOTHES WASHER
X
$6 00
8
GARBAGE DISPOSAL
X
$6 00
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,
I
X
$6 00
(D ' 0
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
56.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
56 00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH CHECK D VISA DMC
Cardtt
AUTHORIZED SIGNATURE:
REVISED t'26/05
EXPIRES
VIN
SUBTOTAL
12.0
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
/7.06