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2003, 08-26 Permit App: BLD-03-02316 Plumbing Fixtures
4ETHOD OF ] CASH SaTol< an aossValley Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA '99206 509-688-0037 - Fax For Ins¢ections, call 509-688-0054 PROJECT ADDRESS: IO 4.,,/(::: _A ��, s S ; r- / ,4 PERMIT USE: OWNER /} •TJ t y 5 tom' 0LA L. vr� PHONE (Daytime Contact): 1 7 7 p0 ,� / .GVL MAILING ADDRFSS: 5-1=7 riles (street) (city/state) - (ZIP) CONTRACTOR -,,,, , ,.� P , e rv�/L LICENSE t: CA oerc / R /.P? MAILING ADDRESS: /fly E 2,,,,i5. tG er.J& PHONE It: 5-6 9" to7if — rC/y5-- ,-re S LI -49 970/'.‘ (street) (city/state) (LU') PLUMBING FIXTURES )ATE: EXPIRES: ANKC 1RD NUMBER UTHORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS % X $6 - 2 URINALS X $6 - 3 TUBS X $6 - 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT / X $6 - 5 SINKS LAVSBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT / X $6 - 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X s6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA, CASE, COIL TRENCH, CONDENSATE X $6 - 12 FOUNTAINS, DRINKING X $6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X $6 - 19 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND RP.B.P.D. FOR VATS, TANKS, BOILERS X $6 - 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT ] CHECK • viSq - __ ilfaStgrmEd[ __.-.4'� SUBTOTAL: c /Y00 PLUS PROCESSING FEE: $35.09-- 7 .4"b ❑ ::.rst:g ::r. ■ TOTAL PERMIT FEE DUE: oS .5-4,2 )ATE: EXPIRES: ANKC 1RD NUMBER UTHORIZED SIGNATURE: