Loading...
2008, 04-08 Permit App: 08001282 Cross ConnectSirioicar 0000Ualley Community Development Plumbing Permit Permit Center 11703 E Sprague Ave, Suite 13-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Www S Application n Commercial okancvallev.oru PERMIT NUMBER: 'icy 262. PERMIT FEE: Residential SITE ADDRESS: I I2? (.1'• /r44 h,QF Building Owner - - Name II rative-1 6ravC1 . . Phone: 509_939-7335 Fax: Address: (I 24 III I•, At P- K. e t-- City $ poKis 4e V¢ (it," State: wfh Zip 192_1 6 Contractor Name: 1{0 c 0' n - i.._Phone: Fax Address: City State: Zip License No: City Business 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 $600 6 DISHWASHER X $600 7 CLOTHES WASHER X $600 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 $600 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 13 FOUNTAINS, DRINKING X $600 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 $600 17 CROSS CONNECTION DEVICE VACUUM BREAKER. CHECK VALVE, AND R.P.B.P.D. FOR VATS, TANKS, BOILERS 0 $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 DISPOSAUSYS X $20.00 22 INDUSTRIAL WASTE INTERCEPTOR X $1500 METHOD OF PAYMENT: CASH 0 CHECK 0 VISA Card# 0 MC EXPIRES: VIN: AUTHORIZED SIGNATURE: REVISED 8/26/05 SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: