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2004, 11-04 Permit App: BLD-04-08123 Plumbing ReversalSaffpolane 40,14110 ,„ Project Address: Owner: "Q9IA Ln) r 4—e a /PEE.. Mailing Address: 10 0 a o X 3 4. f, Contractor. Mailing Address: PLUMBING PERMIT APPLICATION City of Spokane Valley Community Development Department BuildingDivfsion 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Permit Use: Phone (Daytime Contact): V0424-fl4LC= State Zip Code City License #: Phone #: q a b i s 5`3 City State Zip Code DESCRIPTION OF WORK *OF• UNITS COST TOTAL AMOUNT TOILETS 2 URINALS 3 TUBS WATER CLOSET, BIDETS $6.00 X X $6.00 56.00 4 SHOWERS (PER TRAP) SINKS BATH, STALL, ONSITE BUILT LAVSIBASINS, BAR, FLOOR KITCHEN, LAUNDRY, UTILITY, JANITOR. PHOTO, X-RAY, FOOD, PREP/CULINARY/MEAT $6.00 $6.00 DISHWASHER $6.00 7 CLOTHES WASHER X $6.00 B GARBAGE DISPOSAL X $6.00 9 WATER SOFTENER X $6.00 10 ELECTRIC HOT WATER TANK NOTE W GAS, SEE MECHANICAL X 46.00 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE $6.00 12 13 14 ROOF DRAINSIOVERFLOW DRAINS FOUNTAINS, DRINKING X $6.00 $6.00 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS $6.00 15 SEWAGE EJECTOR 16 WATER USING DEVICE GRINDER, SUMP PUMP ICE ANIOR COFFEE MAKER. HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER $6.00 $6.00 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, ANDRP.B.P.D. FOR $6.00 18 INTERCEPTORS VATS, TANKS, BOILERS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK $6.00 19 MEDICAL GAS (per outlet 20 MISCELLANEOUS PLUMBING FIXTURE METHOD OF PAYMENT: ❑ CASH )g( CHECK DATE: / I-14- 011' BANKCARD: NUMBER. AUTHORIZED SIGNATURE: 4--02 NITROUS, OXYGEN 0 VISA EXPIRES: Q MASTERCARD 5600 X 56.00 SUBTOTAL PROCESSING PEE i $35.00 TOTAL. PERMIT PEE DUE: Contractor: WICKER CONSTRUCTION License #: WICKECL009N3 SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00 Total Permit Fee: $100.00 FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED. Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation. Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main sewer. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure. This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc. CALL BEFORE YOU DIG, (509)456-8000. STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000. Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries, including those related to trench safety. 1 SPOT INE COUNTY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 14918 E MISSION AVE Parcel Number: 45141.1101 Subdivision: Block: Lot: Zoning: UNK Unknown Owner: GUARDIPEE, LUE RAE Address: PO BOX 364 VERADALE, WA 99037 - Building Inspector: BOBBY STONE Water Dist: Project Number: 04008300 Inv: 1 Issue Date: 11/4/2004 Permit Use: SEWER CONNECTION - VERADALE/DUPLEX Applicant: GUARDIPEE, LUE RAE PO BOX 364 VERADALE, WA 99037 - Contact: GUARDIPEE, LUE RAE PO BOX 364 VERADALE, WA 99037 - Setbacks - Front: Left: Right: Group Name: Project Name: Phone: (509) 926-1053 Phone: (509) 926-1053 Rear: Permits Sewer Connection Permit 1 Payment Summary Total Fees AmountPaid AmountOwing $100.00 $100.00 $0.00 Tran Date I 1/4/2004 Processed By: SHATTO, JULIE Printed By: WENDEL, GLORIA Page 1 of 1 Receipt # Payment Amt 6665 $100.00 PERMIT v as N m 0 0) rn rn (4) MCI IV bike LS'S. NORTH ARROW 8" ss pLSSr4tYi ( Ave' NOTE: WHERE POSSIBLE MAKE TIES TO TOPO SHOWN ON DRAWING PROJECT NAME: V 02440A c �6UJE . REF. DRAWING NO. 5 D f FILE NUMBER: C( —04 ( A PARCEL: itS/if i • 1/© STREET: 15,5104 ,4 t//, ADDRESS: C ` f e/ / 16 242 3.14 CONTRACTOR ed. ✓Aa , INSPECTOR BE ek COMPANY 90. Ca. DATE INSTALLED 4-24 --Q 3 STUB: DIA. 4" TYPE A yr LENGTH qI CENTERLNE STATION ,ji 40° t/_ UNE NO. / STA. OF AND DIRECTION TO NEAREST MANHOLE 14141e( 454 -sr) INVERT EL 2.0 "lel • S$ DEPTH FROM NATURAL GROUND TO STUB LOCAL B.M. ELEV. Zee S7• 05 DESCRIPTION OF LOCAL B.M. Al V ye,,jvv,, Top op Cv.tle6- Po4GN- i'/920,g . 4s st a PIPE GRADE 13.01 Scanned In: 1/12/2004 by SH