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2003, 01-01 Permit App: BD-03-575 Plumbing Fixtures
IMOD 0 :ASH S<art c k�wR ae .0.00Valley Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax 61) 0-3 57 PROJECT ADDRESS: -7! 7 j ` t9A i _J� i� L� PERMIT USE: PHONE (Daytime Contact): c.izz 7 ._2l ry OWNER: MAILING ADDRESS: (street) (city/state) (ZIP) EQUALS AMOUNT CONTRACTOR.,�+ LICENSE # U/e'C e pi Q 7 ogc�dr 4I a (_ Rs 0,,,, S=ham MAILING ADDRESS: Gl Be..._ 1 yam'!7. C Sloe ",i../ le> _f'.c.9A_ PHONE #: 2 URINALS / r'?e2r`g $6 - (street) (city/state) (Z11.) TUBS PLUMBING FIXTURES E: EXPIRES: KCARD NUMBER: f3ORIZED SIGNATURE: a DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS j X $6 - Sp 2 URINALS / X $6 - 3 TUBS X $6 - 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT 1 X $6 - LQ 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO; X- RAY, FOOD, PREP/CULINARY/MEAT i X $6 - (IP 6 DISHWASHER X $6 - T 7 CLOTHES WASHER X $6 B GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X $6 - 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 14 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 R.P.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 aas -7‘7• SUBTOTAL: .1/41,00 PLUS PROCESSING FEE: $35.00 CHECK II■ _' i TOTAL PERMIT FEE DUE: EC?DO• V E: EXPIRES: KCARD NUMBER: f3ORIZED SIGNATURE: a