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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.% iV i,J c- c......_6, --z.. . j'2 r ' 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: