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2008, 05-29 Permit App: 08002032 Plumbing FixturesValley Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokanevallev.orQ Plumbing Permit Application 23o / Al - P4a,L SITE ADDRESS: n Commercial 9?! Residential PERMIT NUMBER: PERMIT FEE: Building Owner ` 8411ot C Ot=F Name:` llo.sln//a (/ -)oFP Phone: Fax: Address: 130 I ''. Priv- L City: cf. + 1�i�I /' e State: Zip: Contractor Name: �s+�� Pc,�,,� 5; r„ Phone: z 2—is yi Fax: Address: I l i b 1 ilf/G/ a City: (o."--(-/ ri//.eu S State: Wig_ Zip: Tye" l6 License No: City Business Lic: Contact Name: —b-tiFN rv-C_ Phone: _! Li _ 3 -w -i r DESCRIPTION OF WORK # OF UNITS X COST TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6.00 2 URINALS X $6.00 3 TUBS X $6.00 4 5 SHOWERS (PER TRAP) SINKS BATH, STALL, ON-SITE BUILT X $6.00 LAVS/BASINS, 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 $6.00 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: ?aPASH ❑ CHECK ❑ VISA ❑ MC Card# AUTHORIZED SIGNATURE: EXPIRES: VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: 7l Effective October 28, 2007 P:\Community Development\Forms\Building forms\Plumbing Permit Application.doc