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2003, 08-27 Permit App: BLD-03-02329 Plumbing Fixtures Sart or /rr� 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone p 3 ne Spokane Valley,WA 99206 509-688-0037-Fax 4000ValleY For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT PERMIT ADDRESS: , 3 J C/ , 5c�z � USE: OWNER: X/ L�-L PHONE(Daytime Contact): ,�....-.s L� MAILING ADDRESS: (street) (city/state) (ZIP) CONTRACTOR:4` LICENSE#: / MAILING ADDRESS: PHONE#: "2--X./`9,)Y-6) -302/ yr (1/7 la( S/,krxie- �A 9,-2i-z (street) (city/state) (ZIP) ' PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS X COST _EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS 1 X $6 - 2 URINALS X $6 - 3 TUBS X $6 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT / X $6 5 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6 - RAY,FOOD,PREP/CULINARY/MEAT 1 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 - 8 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 $6 - REVERSAL 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, STEAMER,PROOFER,CARBONATOR, X $6 — SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND X - R.P.B.P.D.FOR:VATS,TANKS,BOILERS 17 SPRINKLER SYSTEM X $25 - - 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL X $6 HOLDING TANK 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FIXTURE X $6 - SUBTOTAL: IETHOD OF PAYMENT •'a34' 5 #,+ PLUS PROCESSING FEE: $35.00 CASH 0 CHECK 0 0 t_.__.-__' TOTAL PERMIT FEE DUE: )ATE: EXPIRES: ANKCARD NUMBER: UTHORIZED SIGNATURE: