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2004, 04-23 Permit App: BLD-04-04185 Plumbing Fixtures - 4°.°°\ft..lk 11707 East Sprague Avenue,Suite 106 509-68B-0036 Phone • S� ti �e Spokane Valley,WA 99206 509-688-0037-Fax 4000 V . , Plumbing Permit Application PROJECT ' PERMIT ADDRESS: USE: . OWNER: I /2 0•t- , -k 4 5'L_ PHdNE(Daytime Contact): MAILING ADDRESS: — (street) (city/state) CONTRACTOR /� ' ( c LICENSE 0: .-�-.. MAILING ADDRESS: PHONE I: (street) (city/state) (Zyp) ' PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS I COST EQUALS AMOLWZ� 1 TOILETSWATERry WATER CLOSET,BIDS C�' — X $6 • 2' / z URINALS 3 -ryas F6 • r; X X ss 4 SHOWERS(PER TRAP) BATH,STALL„ON-SITE BUILT X .2- i 5 SINKS LAVS/BASIMS,BAR FLOOR,KITCHEN, LAUNDRY,UTILITY,JANIIDR PHOTO,X- 6/„ X • . $6 3 4' RAY,FOOD;PREP/CULINARY/MEAT l( 6 DISHWASHER X $6 . 7 CLOTHES WASHER - _ X $6 /2. 8 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 • Iz FOUNTAINS,DRINKING -�— X $6 _ Tj 2 13 WATER FIFINGIDRAKN•IIV INSTAL[ATION,,�LTERAIION,REPAIt, X E6 r . WASTE,VENT,PLUMBKNG REVERSALS• X $6 REVERSAL " 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X J S6 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER HOSE BIB, ., STEAMER,PROOFER,CARBONATOR, 2 x $6J a SWAMP COOLER / 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND - RP.BP.D.POR LERS VATS,TANKS,BOIX 27 SPRINKLER --- �— —-- R-,— X VS 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL • HOLDING TANK X S6 19 MEDICAL GAS per outlet NITROUS,OXYGEN - 20,MLSC.PLUMBING'FIXTURE X L SSG —- — HOD OF PAW:0*U SUBTOTAL: Mill t.51-10 CI:ECJ( 0 f — ...--_. PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE; ,. _ EXPIRES: _ ' CARD NUMBER ORIZED SIGNATURE;