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
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Name: Phone
Fax:
Address: City:
State:
Zip:
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Fax:
Address 9 7/2) /2, 4 c , kii City:
State
Zip:
License No p 2/47e8 /36' iD io City Business Lic
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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: