HomeMy WebLinkAbout2008, 06-17 Permit App: 08002299 Plumbing FixturesPermit Center
Spoknel�J 11703 E Sprague Ave, Suite B-3
j ral Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development w sookanevalley.org
Plumbing Permit Application
n Commercial
PERMIT NUMBER: 3-22.9 qr
PERMIT FEE: „GZ
'j Residential
SI'Z'E ADDRESS:
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Building Owner
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Name: 7O p IAA s 01A. %, ND.
Phone
Fax:
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Address: 1
City:
State:
lip:
Contractor i^va s Lt _Line epi it4 N h ttir
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Name: p I C S-
Phone. 3 e, a -S -/.0O
Fax:
Address.
3723/e. /3 Au
City:State:
Saokca_p
rurn
Li p rte
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License No:'n/GLa %-p 9 H / c c-1
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City Bus ess Lie:
- Contact
Name:
Phone:
DESCRIPTION OF WORK
# OF UNITS X COST
TOTAL AMOUNT
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, UTILITY, 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 WATER HEATER
NOTE. IF GAS, SEE MECHANICAL
X
56 00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
56.00
13
FOUNTAINS, DRINKING
X
56 00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
56 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
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
$6.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56 00
20
MISCELLANEOUS PLUMBING FIXTURE
X
56 00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
520.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
515.00
METHOD OF PAYMENT:
DCASH ❑ CHECK ❑ VISA ❑ MC EXPIRES'
Card# VIN
AUTHORIZED SIGNATURE:
SUBTOTAL
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
Effective October 28, 2007
P:\Community Development\Forms\Building forms \Plumbing Permit Application.doc