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2003, 05-16 Permit App: BD03-425 Piping or or '+ 11707 East Spra e Avenue S � Suite 106 509-688-0036-Phone lianse Spokane Valley,WA 99206 � �1e 509-688-0037-Fax Plumbing Permit Application .............................................................L-3 1..............„ c)3-- 2:_) PROJECT ADDRESS: PERMIT • �� USE: OWNER: ' ri -PHONE(Daytime Contact): MAILING ADDRESS: (street) (city/state) (G11 CONTRACTOR__:C'co t, - A r vN LICENSE#: Oc MAILING ADDRESS: °" /! i "e's 'S f`CA)Com? - PHONE#: (street) ...Ar (city/state) (ZIP) PLUMBING FIXTURES ■ DESCRIPTION DETAILS ©TOILETS #OF UNITS X COST EQUALS AMOUNT WATER CLOSET,BIDETS ©URINALS X $6 ©TUBS111111111111111.1111111.111111 .• X $6 - — El SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 I - — SINKS LAVSBASINS,BAR,FLOOR,KITCHEN, X $6 _ — LAUNDRY,UTILITY,JANITOR,PHOTO;X- RAY,FOOD,PREP/CULINARY/MEAT $6 fl DISHWASHER '. igi CLOTHES WASHER X $6 IMMENEMINIMMIEMMEIMMEIMIE fl GARBAGE DISPOSAL X $6 - — L,- `�J �) Q WATER SOFTENER X $6 J 10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL X $6 111 FLOOR DRAINS AREA,.CASE,COIL,TRENCH,CONDENSATE . X $6 ®FOUNTAINS,DRINKING111111.111111111111111111111111 X $6 — —__ - IWATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, X $6 .. gc(cct)-\ WASTE,VENT;PLUMBING REVERSALS REVERSAL _ / )( mii SEWAGE EJECTOR GRINDER,SUMP PUMP ,/X WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, X • STEAMER,PROOFER,CARBONATOR, X SWAMP COOLER IICROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND R.P.B.P.D.FOR:VATS,TANKS,BOILERS X $6 m SPRINKLER SYSTEM INTERCEPTORS •GREASE TRAP,SAND TRAP,CHEMICAL X $25 — • HOLDING TANK X . $6 m MEDICAL GAS per outlet NITROUS,OXYGEN 20 MISC.PLUMBING FIXTURE X 6 X $6 D OF PAYMENT SUBTOTAL: r ❑ CHECK 1 Vast �� ❑ ❑ _ PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: V/,4„0 EXPIRES: :D NUMBER ZED SIGNATURE: