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2003, 06-27 Permit App: BLD-03-0652 Plumbing CIT4 c 4rtt 11707 East Sprague Avenue, Suite 106 509-688-0036 -Phone ► 1ane Spokane Valley,WA 99206 509-688-0037-Fax • 4000 Vey . Plumbing Permit Application D 63- 1 S PROJECT PERMIT ADDRESS: 4747? �j // • OWNER: '� � ic / f�' USE: C n z y7 /9/�,.)-0 A-% PHONE(Daytime Contact): ' MAILING ADDRESS: '1 / - (street) (city/state) (ZIP) CONTRACTOR: + � � LICENSE#: ciRc�.4fti / e Cd; a C Com, eit!/'CC. /FI ,Q7 MAILING ADDRESS: PHONE 4: 5-6)1 - l / '- _5, y7 — 19 '!F 6 S:or.4-- P /.x..54 . ©/'6 (street) (city/state) PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6 2 URINALS - 3 TUBS X $6 - X $6 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 5 SINKS LAVSBASINS,BAR,FLOOR,KITCHEN, s LAUNDRY,UTILITY,JANITOR,PHOTO;X- X $6 - RAY,FOOD,PREP/CULINARY/MEAT 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 B 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 X $6 - 12 FOUNTAINS,DRINKING X $6 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, - WASTE,VENT,PLUMBING REVERSALS X $ .. _______._._. REVERSAL / „+ 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, S'T'EAMER,?ROOFER,CARBONATOR, X $6 SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND R.P.B.P.D.FOR:VATS,TANKS,BOILERS X $6 - 17 SPRINKLER SYSTEM X $25 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL • HOLDING TANK X $6 - 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FIXTURE X $6 - HOD OF PAYMENT SUBTOTAL: MEM rJa5t__ c_f PLUS PROCESSING FEE: $35.00 :ASH 0 CHECK 0 ❑ __ — . _ TOTAL PERMIT FEE DUE: L// eo E: EXPIRES: KCARD NUMBER: E-IORIZED SIGNATURE_: