Loading...
2007, 10-29 Permit App: 07004332 Water PipingSliblEne 11707E Sprague Ave, Suite 106 ey Spokane Valley, WA 99206 410/0 (509)688-0036 FAX: (509)688-0037 Community Development v;ww,snokanevalley.ore.com Plumbing Permit Application ,. Olommercial „Residential SITE ADDRESS: 2-f, / / j : /C� / �C 6� 1,7 PERMIT NUMBER: `t 3 3 PERMIT FEE: 1-/' Braiding owner . / o 1 J .' Jr / c d, 1 . . Name: :�G) in, N Phone: Fax: COST / •) Address: % >r `1 /� , (jam• i ( �% City. ?�1 Gli - State: ///,7a/Zip: Coatracfor . s • , 9,) /` TOILETS /'/ Name: , f 0,)l7 (, '" jY�/ C L(( Phone: y,� — jy y Fax: X Address: l/ (r,/ ? Al 64/10.2 i,1,1 / ,y City : iv .,,, State: %�%r: ZP9 9`)-d b License No: it S C'»- - /,I 5/6J Li City Business License No: X 56.00 Name: Phone: 3 AUTHORIZED SIGNATURE: REVISED 8126105 DESCRIPTION OF WORK 11 OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS X 56.00 = 2 URINALS X 56.00 = 3 TUBS X 56.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X 56.00 = 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTIUTY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT X 56.00 = 6 DISHWASHER X 56.00 = 7 CLOTHES WASHER X 56.00 = 8 GARBAGE DISPOSAL X 56.00 = 9 WATER SOFTENER X 56.00 = 10 ELECTRIC HOT WATER TANK NOTE IF GAS, SEE MECHANICAL X '56.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X 56.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X 56.00 = 13 FOUNTAINS, DRINKING X $6.00 = WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL , NSTALLATION, ALTERATION, REPAIR, REVERSALS X 56.00 = ‘)..:714 7,n 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X 56.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER X 56.00 = 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR VATS, TANKS, BOILERS X 56.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6.0D = 19 MEDICAL GAS (per outlet) NITROUS. OXYGEN X 56.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X 56.00 = 21 PRNATE SEWAGE DISPOSAUSYS X 520.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X 515.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK Card# SUBTOTAL 0 VISA 0 MASTERCARD PROCESSING FEE $35.00 EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8126105