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2006, 12-28 Permit App: 06004963 Plumbing Fixtures
DEC 06 2005 09:30 FR �Sftilf� .001FValley Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 Comnitmi Development (509)688-0036 FAX: (509)688-0037 h p www12saily.,2r.zconi Plumbing Permit Application SrrE ADDRESS: ❑ Commercial Euildiog owner V TO 12087624507 P.01/01 PERMIT NUMBER: PERMIT FEE: Residential C'N o n State: Name Address: City : State: Zip; License No: City Business License No: Cnntact' Name: WATER CLOSET, BIDETS SHOWERS PER TRAP SINKS BATH, STALL ON-SITE BUILT LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD PREP/CULINARY MEAT DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTENER ELECTRIC HOT WATER TANK NOTE: IF GAS SEE MECHANICAL FLOOR DRAINS AREA CASE COI TRENCH CONDENSATE ROOF DRAINS/OVERFLOW DRAINS FOUNTAINS, DRINKING WATER PIPING/DRAIN-IN WASTE, NSTALLATION, ALTERATION, REPAIR VENT PLUMBING REVERSAL RP1/�ace� c SEWAGE EJECTOR GRINDER. SUMP PUMP ICE AN/OR COFFEE MAKER, HOSE BIB. WATER USING DEVICE STEAMER PROOFER CARBONATOR. SWAMP COOLER CROSS C. NECTION DEVICE INTERCEPTORS MEDICAL GAS (per outlet) MISCELLANEOUS PLUMBING 20 FIXTURE 21 PRIVATE SEWAGE DISPOSAUSYS INDUSTRIAL WASTE 22 INTERCEPTOR METHOD OF PAYMENT: ❑ CASH Card# ❑ CHECK AUTHORIZED SIGNATURE; VACUUM BREAKER, CHECK VALVE, AND R,P.B_P.D, FOR: VATS, TANKS. BOILERS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK NRROUs,OXYGEN ❑ VISA 0 MASTERCARD EXPIRES: a OF UNITS 2 " 1 ss.00 n $6.00 M i I 56 00 w � 58.00 16.00 $8.0o $6,Dp lit11111 $6.00 56.00 © $6.00 6.OD I el $8.00 $6.0II 0 56.00 36.00 NM $B.DO MI 520.00 x 3ts,00 SUBTOTAL TOTAL AMOUNT $35.00 TOTAL PERMIT FEE DUE: REVISED endos ** TOTAL PAGE.01 **