2006, 10-24 Permit App: 06004269 Plumbing FixturesSpokane
.n/ eY
Community Development
Plumbing Permit
SITE ADDRESS:
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.orz
Application ❑ Commercial
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PERMIT NUMBER: Z (1,7
PERMIT FEE: L4 )
Residential
Building Owner
Name: 2{4
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Address:
Contractor
Phone: 97_7_02)-,7
City: s�oCF(�/ `/ 7, State:
Name: 0/4.9ilet-
Address:
License No:
Phone:
Fax:
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Zip: J2
4i1 ahoi/e
City:
State:
Zip:
City Business Lic:
Contact
Name:
Phone:
1
2
3
4
5
DESCRIPTION OF WORK
TOILETS
# OF UNITS
X
COST
TOTAL AMOUNT
WATER CLOSET, BIDETS
X
$6.00
URINALS
TUBS
X
$6.00
X
$6.00
SHOWERS (PER TRAP)
SINKS
6
7
8
9
10
11
12
13
14
15
16
DISHWASHER
BATH, STALL, ON-SITE BUILT
X
$6.00
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
X
$6.00
CLOTHES WASHER
X
$6.00
GARBAGE DISPOSAL
WATER SOFTENER
X
$6.00
X
$6.00
ELECTRIC HOT WATER TANK
FLOOR DRAINS
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
•
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
ROOF DRAINS/OVERFLOW DRAINS
FOUNTAINS, DRINKING
X
$6.00
X
$6.00
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
SEWAGE EJECTOR
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
GRINDER, SUMP PUMP
X
$6.00
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
X
$6.00
17
18
19
20
21
22
CROSS CONNECTION DEVICE
INTERCEPTORS
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
X
$6.00
c'D
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
MISCELLANEOUS PLUMBING FIXTURE
PRIVATE SEWAGE DISPOSAL/SYS
X
$6.00
X
$20.00
INDUSTRIAL WASTE INTERCEPTOR
METHOD OF PAYMENT:
❑CASH ❑ CHECK
Card#
X
$15.00
ISA ❑ MC
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE: