2008, 09-19 Permit App: 08003723 Mechanical, Plumbing FixturesRECEIVED 09/19/2008 09:50 5096880037
09/19/2008 08:15 15097471235 MOSER INC
Spokane
.„ . Valley.
CITY OF SPOKANE VALLEY
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 8-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
perm itce me r@suo ka reva l ley. ora
El COMMERCIAL
SV PERMIT CENTERFR
PAGE 04
PLUMBING PERMIT APPLICATION
SITE ADDRESS:1010 S. SUNNYVALE
RESIDENTIAL
BUILDING OWNER NAME:DIANA WILHITE
NAME:DIANA WILHITE
An:REss:617 N. HELENA
CITY:SPOKANE
1,11oNE:509.534.9001 __ FAx:509.534.3003 CELL:
CONTACT NAME:CORY
STATE:WA. _ ZzP:99202
PHONE:509.747,0950 FAX; CELL:
CONTRACTOR NAME:MosER INC.
MAILINGADDRESS:10437 W. WESTBOW BLVD.
CITY:SPOKANE STATE:WA. ZIP;99224
PHONE:509.747.0950 _ FAx;509.747.1235
CELL:
CONTRACTOR LICENSE No.:MOSERI*066LA
NO.: UB I # 601-537-269
EXPIRES:6/201Q CITY euSTNEss LICENSE
Effective October 28,02 7
http://www.spokanevalley.org/uploads/Community_DEvelopment/Documents/Forms/Building/Plumbin Permit A ge
9 PP• l doc
RECEIVED 09/19/2008 09:50 5096880037
09/19/2008 08:15 15097471235 MOSER INC
SV PERMIT GEN I EKl-K
PAGE 05
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit Is for construction or on a dwelling, the dwelling Is/will
be served by potable water. 2) Ownership of this City of Spokane Valley permit Inure to the property owner. 3) The signatory Is the property
owner or has permission to represent the property owner In this transaction. 4) All construction Is to be done In full compliance with the City of
Spokane Valley Development code. Referenced codes are available for review at the City of Spokane valley Permit Center. 5) The City of
Spokane Valley permit Is nota permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information may be required to be submitted and subsequently approved before this application can be processed.
Signature
Method of payment: 0 Cash 0 Check
Bankcard #:
Authorized Signature:
Date:
E Visa ❑ Mastercard
EXP: VIN#:
Effective October 28, 2007Page 2 of 2
http://www.epokanevalley.Org/Uploads/Community_Development/Documents/Forms/Buliding/PlLlmbing Permit App.l doe
DESCRIPTION OF WORK
# OF UNITS
X
COST
a
TOTAL AMOUNT
1
TOILETS
WATER CLOSELBIDETS
X
$6.00
=
2
URINALS
X
$8,00
3
TUBS
X
$6.00
i
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE GUILT
X
$8,00
=
5
SINKS
LAVS/I8ASINS, BAR, FLOOR. KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FO00, PREP/CULINARY MEAT
X
$6.00
=
6
DISHWASHER
X
$6.00
-
7
CLOTHES WASHER
X
$6.00
V
8
9
GARBAGE DISPOSAL
X
X
$6.00
$8,00_
-
_
WATER SOFTENER
10
11
ELECTRIC WATER HEATER
NOTE: IF GAS, SEE MECHANICAL
X
86.00
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
>A
13
14
15
FOUNTAINS, DRINKING
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
SEWAGE EJECTOR
X
$6.00
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6,00
=
GRINDER, SUMP PUMP
X
X
$6,00
$6,00
=
10
17
18
WATER USING GEvICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
CRASS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R,P,B,P.D. FOR: VATS, TANKS,
BOILERS
X
$8,0p
=
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$0,00
=
19
MEDICAL GAS (par outlet)
NITROUS, OXYGEN
X
$6,00
=
20
_
MISCELLANEOUS PLUMBING FIXTURE
1
X
$6,00
=
6.00
21
22
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
=
INDUSTRIAL WASTE INTERCEPTOR
_
T�
X
$15.00
�tlt "T"' t. •-T--
SUBTOTAL
S''t 57_Ivt
PROCESSING FEE
,r,.
TOTAL PERMIT FEE DUE!
6.00
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit Is for construction or on a dwelling, the dwelling Is/will
be served by potable water. 2) Ownership of this City of Spokane Valley permit Inure to the property owner. 3) The signatory Is the property
owner or has permission to represent the property owner In this transaction. 4) All construction Is to be done In full compliance with the City of
Spokane Valley Development code. Referenced codes are available for review at the City of Spokane valley Permit Center. 5) The City of
Spokane Valley permit Is nota permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
Information may be required to be submitted and subsequently approved before this application can be processed.
Signature
Method of payment: 0 Cash 0 Check
Bankcard #:
Authorized Signature:
Date:
E Visa ❑ Mastercard
EXP: VIN#:
Effective October 28, 2007Page 2 of 2
http://www.epokanevalley.Org/Uploads/Community_Development/Documents/Forms/Buliding/PlLlmbing Permit App.l doe