2007, 01-19 Permit App: 07000153 Plumbing FixturesSCity 0
pakaliw
- Valley
Community Development
Permit Center
11707 E. Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Plumbing Permit Application
1oL
PERMIT NUMBER:
PERMIT FEE:
( ) Commercial ( ) Residential
SITE ADDRESS: 2714 N. Perrine Ct., Spokane Valley, WA 99206
Name: Craig Woodard
Phone:
Fax:
Address: 5003 N Lillian Ct.
City: Spokane Valley
State: WA
Zip: 99216
Name: K. C. Charles, Inc.
Address: 5685 Jergens Road
City: Nine Mile Falls State: WA
Zip: 99026
License No: KCCHAI0880T
City Business Lic: 601 219 705
Name Cary E. Berger
Phone: 276-1228
DESCRIPTION OF WORK
# OF UNITS
x
COST
TOTALAMOUNT
1
TOILETS
WATER CLOSETS, BIDETS
2
X
$6.00
12.00
2
URINALS
X
$6.00
3
TUBS
X
$6.00
4
SHOWERS (per trap)
BATH, STALL, ON-SITE BUILT
2
X
$6.00
12.00
5
SINKS
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
2
X
$6.00
12.00
8
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
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
INSTALLATION, ALTERATION, REPAIR, REVERSALS
X
$6.00
15
SEWAGE EJECTORS
GRINDER, SUMP PUMP
X
$6.00
16
WATER USING DEVICES
ICE AND/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 & SAND TRAP, CHEMICAL HOLDING TANK
X
$6.00
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6.00
20
MISC. PLUMBING FIXTURE
X
$6.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
820.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
( ) CASH ( ) CHECK ( )VISA ( ) MC
CARD#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
36.00
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
71.00