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2008, 08-11 Permit App: 08003109 Plumbing FixtureskSiliataneste.".6 11703 E Sprague Ave, Suite B-3 Permit Center Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development www.snokanevalley orp. Plumbing Permit Application PERMIT NUMBER: -24n PERMIT FEE: 5;2-) ri Commercial n Residential SITE ADDRESS: /2-2/1SSJ24 - :Building Owner ;.-Ir1'„ ''' --;,- '.1 t ';- r:. .; Y. ::-: . 11, •:.-; 1 : -.,7:::-:-i7-1,fii`t7fr:( tV.,'-,..Iff;--,7,:. Name: Phone Fax: Address: City: State: Zip: :Contractor 1': : ,.,-,. .,:. ::„"-.:::::1-P? -:'...P:1m, T- Nanic-TA cl?Zids-v,i'li,'2..2_, Phone.E.ey_7/i4ac? 2 Fax: Address 9 7/2) /2, 4 c , kii City: State Zip: License No p 2/47e8 /36' iD io City Business Lic Conlact., _ 1.'f-Y'LI:1:‹I:;::' :I: '',::..-:Y]'??f:/;1:-,:::.;:: ',";"."''';4;:-.1.,V;72:" = -,- ' - - . '-:.'el-TIL: - - A t7'.:Cirl- A.,: J. Name g , /2_ //c.,4,2 Phone: DESCRIPTION OF WORK 110F UNITS X COST 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 66 00 5 SINKS (....y.sleAsiNs, 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 $600 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 $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 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 $6.00 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R P.B.P.D. FOR: VATS, TANKS. BOILERS X $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 $15.00 METHOD OF PAYMENT: °CASH 0 CHECK 0 VISA 0 MC EXPIRES- Cardtt VIN: AUTHORIZED SIGNATURE: all -17114/1a REVISED 8/26i05 SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: