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2008, 11-07 Permit App: 08004423 Piping -_- 2 Permit Center ""` 11703 E Sprague Ave,Suite B-3 ` Spokane Valley,WA 99206 PERMIT NUMBER: /f/ "7 (509)688-0036 FAX:(509)688-0037 PERMIT FEE: Community Development permitcentera spokanevallcy.org Plumbing Permit Application ❑ Commercial I Residential SITE ADDRESS: _ 23 /,‘ 5 g V G l Zi4. .1 Building Owner Name: 8 6©d jg G/1 Phone: 7 -��Fax: Address: � 2 L City: d ( State: Zip:l?lQ � �' FDIC � Wet ?rp� Contractor Name: '----e, A /_ (�. / Phone: P-0.„‘":,... 7 Fax: Address: vv�vcc ���_7,2 e__v"'titer City:����6 State: i , 4 Zip::,2Q License No: City Business Lic: w/` Contact Name: ���r� e et__` Phone: 77O — DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6.00 = 2 URINALS X $6.00 = 3 TUBS X $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 = LAYS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 = X-RAY,FOOD,PREP/CULINARY MEAT 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 WATER HEATER 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, /' R e--6 14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 = (O 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 = 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 0 VISA ❑MC EXPIRES: $35..00 Card# ,"...01r N: TOTAL PERMIT FEE DUE: v? AUTHORIZED SIGNATURE: REVISED 8/26/05