2015, 01-26 Permit App: BLD-2015-0136 Plumbing Fixtures5092527522 xerox fax
A Va11ey
community uevetopment
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
I V. 1 J. G:/ 0.111.
Plumbing Permit Application ❑ Commercial ag Residential
Project >r 6Llb - OI
RECEIVED
JAN 2 b 2015
PERMIT FEE
ER
SITE ADDRESS: 32-2 N On, vo•sr 4%7 92e [v
S U E3 # 1 i V�
RE
Building Owner
Name: ' geh '%itp e.C
Phone: 2. I1 10 s L
Fax:
Address: 3 z z N Uhrv4-1,71y
City:spoga., l/a//e7
State:41
Zip: vg2O6
Contractor J"
Name: GOLD SEAL MECHANICAL, INC
Phone: (509 )535-5944
Fax® (509) 535-9359
Address: 5524 E BOONE
City: SPOKANE VALLEY
State: WA
Zip 99212
License No: GOLDSM*290C4
City Business Lia 03048
Contact/Project Manager:
Name: i3 riG.,v . 4 3 5 - L ig l
Phone: 535-5944
DESCRIPTION OF WORK
# OF UNITS
WATER CLOSET, BIDETS
X COST
X $6.00
.x SS OD
X i $6.00
TOTAL AMOUNT
IAVS/BASINS, BAR, FLOOR. KITCHEN.
LAUNDRY. UTILITY. JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTENER
X I $6.oD
X 1 56.00
X t 56.00
ELECTRIC HOT WATER TANK
FLOOR DRAINS
ROOF DRAINS/OVERFLOW
DRAINS -
NOTE IF GAS..SEE MECHANICAL
AREA CASE, COIL, TRENCH, CONDENSATE
$5.00
$6.00
$6.00
FOUNTAINS, DRINKING
WATER PIPING/DRAIN-IN WASTE.
VENT. PLUMBING. REVERSAL
SEWAGE EJECTOR
WATER USING DEVICE
CROSS CONNECTION DEVICE
INTERCEPTORS
MEDICAL. GAS •eroutlet
NSTALEATION, ALTERATION, REPAIR
REVERSALS
GRINDER, SUMP PUMP
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARHONATOR. SWAMP COOLER
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR VATS. TANKS. BOILERS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
NITROUS. OXYGEN
X 1 $6.00
X i Moo
MISCELLANEOUS PLUMBING
FIXTURE
PRIVATE SEWAGE DISPOSAL/SYS
INDUSTRIAL WASTE
INTERCEPTOR
../ ref pie Int- Rad►ani- •17Jatnl'ln 5L -A8
=0R IVew GARAGE
htipJAnvw.spokanevalleyorg/5lcstorege/12A/936/210/94B/14962743/BUmb App.doc
Received Time Jan.26. 2015 10:23AM No.1440
X I 320.00
X 515.00
SUBTOTAL
PROCESSING FEE.
TOTAL PERMIT FEE DUE: