2005, 10-10 Permit App: 05003694 Plumbing FixturesOct. 5. 2005 II:50AM 1-202-773-1077
11Center
ne 11770071 7 E Sprague Ave, Sane 106
alley Spokane Valley, WA 99206
(509)6S8- O36 FAX: (509)685-0037
Community Development Y'ww.spokanevailey erg cern
Plumbing Permit Application
P!o•99I2 P. 2/2
PERMIT NUMBER:`3 5 4
o Commercial X Residential
PERMIT FEE: 5(7
SITE ADDRESS 17412 Manseeld. Spokane Valley. WA (yidden Valley suhdivslon)
Bullding owner
DESCRIPTION OF WORK
Name: Viking Construction, Inc.
Phone: 208-762.9106 Fax: 208-762-4507
Address: 2605 W. Hayden
4
- Cuv ' Hayden State: ID 2ap: 83835
Contractor
TOTAL AMOUNT
Name: Garland Plumbing
Phone: 208-773-3009 Fax: 208-773-1077
Address: 5504 E, Seltiee Way. AD
City Pose Falk State ID Zio 83854
License No. C-11393, WA State USI 4602407252
.. City Business license No: WA State LI UGARLACS965L9
Contact
_
Nance: Cher Catstensen
-_ Phone: 208-773-5009
eL
AUTHORIZED SIGNATURE.
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN G52014-030.
OCT 05 2005 12:22
RE\, [SED e26r06
PAGE.02
DESCRIPTION OF WORK
# OF UNITS
X
C0$T
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
_
X
$600
3
TUBS
ar2D
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, PREF/CULINARY MEAT
X
56.00
=
6
DISHWASHER
X
5600
=
7
CLOTHES WASHER
/
X
$600
=
8
GARBAGE DISPOSAL
-
/
X
36.00
=
9
WATER SORIENER
X
$6.00
=
10
ELECTRIC HOT WATER TANK
NOTE' IP GAS, SEE MECHANICAL
X
$6 00
11
FLOOR DRAINS
AREA. CASE, COIL. TRENCH, CONDENSATE
X
56,00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
5600
13
FOUNTAINS. DRINKING
X
5800
=
1A
WATER PIPINGJORAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALIATION, ALTERATION, REPAIR.
REVERSALS
X
30.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
56.eo
=
is
WATER USING DEVICE
ICE AWOR COFFEE MAKER, HOSE BIB,
STEAMER
FROOFER, CARBO,NATOR. SWAMP COOLER
X
$6.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.3 F.D. FOR: VATS. TANKS, BOILERS
X
56 00
=
18
INTERCEPTORS_
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL OAS (per outlet)
NITROUS. OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
_
X
$6.00
21
PRIVATE SEWAGE DISFOSAUSYS
X
520,60
=
22
INDUSTRIAL WASTE
INTERCE'TOR
X
515.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
Card# -"- ,(4%
SUBTOTAL
�(''
d ,O0
VISA 0 MASTERCARD
PROCESSING FEE
coct2
r-- ' -
TOTAL PERMIT FEE DUE:
X�5335.00
p
O / , e-0
eL
AUTHORIZED SIGNATURE.
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN G52014-030.
OCT 05 2005 12:22
RE\, [SED e26r06
PAGE.02