Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2008, 08-14 Permit App: 08003169 Plumbing Fixtures
Permit Center �� 11703 E Sprague Ave,Suite B-3 �' f,' Spokane Spokane Valley,WA 99206 PERMIT NUMBER: � / , �Qiley$ 509)68 0036 FAX:(509)688-0037 SC' www.s okanevallev.or� PERMIT FEE: L Community Development Plumbing Permit Application ❑ Commercial (1I Residential SITE ADDRESS: i%' /029'0 �G..//ems Building Owner Name: Phone: Fax: Address: /...2 .9(,-) r� ( ��/,.C., ,e_ City: State: Zip: Contractor / �(((/ Name: OA�y/in?C p,/1/Ca j Phone: Fax: Address: 3,75( 0 , 06,0 4 City: Y'` ,frte State: / m 6 Zip:G'C;��)/ License No: h, me_e_ *.�` ' / yin7 City Business Lie: f litJ ( / V(�J Contact //t l C_ -] in Name: ti Fci.7(er, /Phone: G��eG(�� — DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6.00 = 6?Q CD 2 URINALS X $6.00 = 3 TUBS X $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 = no LAVS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 = G Q X-RAY,FOOD,PREP/CULINARY MEAT �0 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 HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 = AREA,CASE,COIL,TRENCH, 11 FLOOR DRAINS CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS,DRINKING X $6.00 = WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, 14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 = 6 06 ICE AN/OR COFFEE MAKER,HOSE BIB, 16 WATER USING DEVICE STEAMER X $6.00 = • PROOFER,CARBONATOR,SWAMP COOLER VACUUM BREAKER,CHECK VALVE, AND R.P.B.P.D.FOR: VATS,TANKS, 17 CROSS CONNECTION DEVICE BOILERS X $6.00 = GREASE TRAP,SAND TRAP, 18 INTERCEPTORS 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 DISPOSAL/SYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = SUBTOTAL METHOD OF PAYMENT: PROCESSING FEE ['CASH El CHECK ['VISA ❑MC EXPIRES: $35.00 Card# VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05