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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