2006, 05-30 Permit App: 06002050 Plumbing Fixturesb i.aDe 11/V/GJI71d.u,uc"VG, Jw1.G 1VV
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Communf,:y Development www .Snokanevallev.ors
Plumbing Permit Application ❑ Commercial
PERMIT NUMBER: t
PERMIT FEE:
Residential
SITE ADDRESS: Is—/// E iektc
Building Owner
Name:
Phone:
Fax:
Address:
City:
State: Zip:
Contractor r Yl k... n.%
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Name:.--, (K 13�v`--^'�
Phone:
Fad 0 3Yi - `7 -S -SI 4.
Address: 4/61.....7Sc-
City D r y..e//,,
State: ,,..i Af Zip: ?93-
License No:
City Business Lic:
Contact .:
-
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
(13 TOILETS
WATER CLOSET, BIDETS
X
$6.00
2 URINALS
X
$6.00
3 TUBS
X
$6.00
1. SHOWERS (PER TRAP)
4 SINKS
BATH, STALL, ON-SITE BUILT
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
1
X
$6.00
1
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 j ELECTRIC HOT WATER TANK
11 FLOOR DRAINS
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
AREA, CASE, COIL TRENCH,
CONDENSATE
X
$6.00
12 ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
13 FOUNTAINS, DRINKING
X
$6.00
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.D0
19 MEDICAL GAS per outlet)
NITROUS, OXYGEN
X
$6.0D
20 MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
21 PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
22 INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED snb/Ds
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: