2009, 09-08 Permit App: 09002844 Sprinkler System*lane
Walley
Project Address: S. 1115 MAMA
Owner: 3EFF TA'(L-OR.
3
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Permit Use: LPW^3 S PQI NKL E« Sys'r M
Phone (Daytime Contact): 506I 9a1- 3333
Mailing Address: S. 1115 MAther SPoKPr.JE wp% c19a-l(0
City State Zip Code
Contractor:-,JtGKIS 1.14,3bSGA,PC !,.GP.R W S License #: tJICKSL_Ga'18 BS Phone #: SCG qa4 b98 3
Mailing Address: S. a4I'-I- BAi KFC. bF�N,acRiiS \A/A‘ cg01(o
CELL 509 494-133x- City State Zip Code
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
*OF
UNITS
X
COST
a
TOTAL
AMOUNT
1
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
LAVSBASINS, 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
$600
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$600
=
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
INSTALLATION, 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
LAN SPP -cu tie
Sk STEN'
VACUUM BREAKER, CHECK
VALVE, AND R.P-B.P.D. FOR:
VATS, TANKS, BOILERS
I
X
$6.00
=
it,
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
=
METHOD OF PAYMENT:`/
0 CASH CHECK 0 VISA ❑ MASTERCARD
DATE: EXPIRES:
SUBTOTAL
' O. CO
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
S 41,00
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: