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2006, 01-31 Permit App: 06000282 Plumbing Fixtures Si)�.Kdue ', 11707 E Sprague Ave.Suite 106 PERMIT NUMBER �T 11m Spolotne Valley,WA 99206 �' ' (509)688-0036 FAX(509)688-0037 PERMIT FEE: ComrrnmitY Development wwwsookanevalley.ors.c:orrt Plumbing Permit Application ❑ Commercial identiai SITE ADDRESS: Building owner. Name: Thom Fart Addresrs: a • moi': Slat=`Ceti '. ,.•- .lfy.5 putitvg/A16 ' _ ::•.`, ,. ._.. - -- - . Name: Phone: - Farc Address: city: State: 7p: License �i��c�e ssee�No: City Business Manse Nuc daiiii< . . -,ti:,-:-'d . i.. • - . +:5:.H.::4:.-.':. iA ..7!-r ix6F E i :,;Y: .. .. ... . • .. • Name: Phone:Phone: .. DESCRIPTION OF WORK 8 OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS t X *00 = 2 -URINALS X $6.00 = 3 *TUBS ..X $8.00 = 4 SHOWERS(PER TRAP) BATH.STALL,ONSITE BUILT X $8.00 = tAVSJBASNS.BAR.FLOOR KUTCNEN. 5 SINKS LAUNDRY.UTILITY.JANITOR.PHOTO, X $6.00 = X-RAY.FOOD, MEAT 8 DISHWASHER J x $8.00 = 7 CLOTHES WASHER 1 X $6.00 = 8 GARBAGE DISPOSAL 1 , X , $8.00 = 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEEIANICAL X $6.00 = 11 FLOOR DRAINS AREA,CASE,COE.TRENCH.CONDENSATE I X $8.00 = ROOF 12 DRAINS X $6.00 = 13 FOUNTAINS.DRINKING X $6.00 – ^4 WATER PIPNGMMAN-IN WASTE. NSTALLATION.ALTERATION.REPAIR 14 VENT,FUJMENG.REVERSAL REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER.SUMP PUMP X $6.00 = 16 WATER USING DEVICE AN/OR EMAIL HOSEEE MAKER. 3 X $6.00 = PROOFER.CARBONATOR.SWAMP COOLER VACUUM BREAKER,CHECK VALVE. 17 CROSS CONNECTION DEVICE AND R.P.BP.D FOR VATS,TANKS,BOILERS X_ $6.00 = GREASE TRAP.SAND TRAP, 18 INTERCEPTORS Ct EMLICAL HOLDING TANK X *00 = 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 = MISCELLANEOUS PLUMBING . 20 FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 = INDUSTRIAL WASTE 22 INTERCEPTOR X $15.00 SLDT6TAL METHOD OF PAYMENT: PROCESSING FEE ❑ CASH 0 CHECK ❑VISA 0 MASTERCARD $35.00 CaldS EXPIRES: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED so&os