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2015, 05-18 Permit App: BLD-2015-1136 Plumbing Fixtures_-,# _IX15 RECEIVED Permit Center Sp©" kaiie 11707 E Sprague Ave, Suite 106 'Talley Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 ryh Community Development tvww.spokanevalley.ore.com MAY 1 R 2015 Plumbing Permit Application o Commercial jResidential SITE 1 1 307 Z. �u ✓. A Or H M I T C E N I L i P4n41 ��q� _1;',.'7'72,` arar� r.. .. In_ OW(1PCt0�4Su-f?;•-4c,...,. .. ,.t ,� , am2, '":r ..c.-. V°•a 4 rr i� i • ��,..4Ul te.aayut ;-..� _ t-lFr, '�te--i-eJ Name: pi--c,ma-At Ic-dce lc C04,51" TOILETS Phone: Fax X $6.00 = Address: 2 URINALS City State Zip = •^f�i CQ�3' ref4 _ tractor�., n. .. } .,2i, -n - Phone: "b"-e?�t 7. i' '7"c`-'^.O`er Fax: City State ...moi Z`. �a,5 ,���£`F I.& - Name: (--)'1 ,L I Jam„ P11.r434 b r,J I Zip $6.00 = Address: License No: SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT X City Business License No: = 30 6 z �- r h ih't?. G7� ` L�+ Gl atiltre In x y { ) -M _.�'i 4 ,.4, :e y - . se QTR ro, 46,--ttr r-.4 ict, - sect-7— - _, x..11.. te r ' -n., .hT ... . � -tom r, . 4c. '�Nzi.+.� '- - -Yp . iit - - y�...-v".S v r Y ,u , .;;p -,...i ,14. ,:v`A. }Ai.,,t, ., 'V_ Name: }put b 8 GARBAGE DISPOSAL Phone: Z (g 1-19 z LJ X $6.00 = AUTHORIZED SIGNATURE: REVISED 8/26/05 DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS Z X $6.00 = lZ 2 URINALS X $6.00 = J 3 TUBS Z- X $6.00 = I.& 4 SHOWERS/PER TRAP) BATH, STALL, ON-SITE BUILT I X $6.00 = 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT X $6.00 = 30 6 DISHWASHER ) X $6.00 = 6 7 CLOTHES WASHER I X $6.00 = b 8 GARBAGE DISPOSAL I X $6.00 = k 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS, DRINKING X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING. REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER X $6.00 = I �7 ` (" 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, 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 = METHOD OF PAYMENT: ❑ CASH ❑ CHECK 0 VISA ❑ MASTERCARD DATE: EXPIRES: SUBTOTAL/l V PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05