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2003, 08-27 Permit App: BLD-03-02328 Plumbing Fixtures
+art o 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone I,� O iii Spokane,Valley;WA 99206 509-688-0037-Fax Walley For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT PERMIT ADDRESS: J3`c ji 5� c r USE: OWNER f�JPHONE(Daytime Contact): ‘61 1."(2 .2-�c-2�� MAILING ADDRESS: (street) (city/state) (ZIP) CONTRACTOR: LICENSE#: /1i - t%c,t✓.a(h-,ry /d-'-- !'I82G0 MAILING ADDRESS: PHONE#: 'Z''' .--i— 9 c).5-4-9 3 0 2. 7 Al 4 l , ret 997," (street) (city/state) (ZIP) ' PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS I X $6 = 2 URINALS X $6 - 3 TUBS X $6 - 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT I X $6 5 SINKS LAVSBASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6 - RAY,FOOD,PREP/CULINARY/MEAT 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 $6 - R.P.B.P.D.FOR:VATS,TANKS,BOILERS 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL HOLDING TANK X - 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FIXTURE X $6 - SUBTOTAL: LETHOD OF PAYMENT VISA'__ • Mf . PLUS PROCESSING FEE: $35.00 CASH ❑ CHECK 0 0 �.__ '. TOTAL PERMIT FEE DUE: )ATE: EXPIRES: ANKCARD NUMBER UTHORIZED SIGNATURE: