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2004, 01-06 Permit App: BLD-04-03381 Plumbing Fixtures
1-+ 4•O�r�� 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone O 101111°;\11111%,e Spokane Valley,WA99206 509-688-0037-Fax ,,000-Valley For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT PERMIT ADDRESS: 3 3 1 > S. VercJ it D' USE: • OWNER: re rr -0 0 3 Sa iv PHONE(Daytime Contact): MAILING ADDRESS: (street) (city/state) (ZIP) CONTRACTOR: A4E7,104 ic 5h(e`c7- / ENSE#: 4/Nbe f5,n 1c8,ii 2.... MAILING ADDRESS: PHONE#: z 8_ Q G a /3 90 3 Tit{.-,r AI ve. (street) 3 e`).1-•RY. (city/state) A , (GIf) 9 /z./ 4 PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS ! X $6 - 6 i- 2 URINALS X $6 - 3 TUBS X $6 - 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 1 X $6 - 6 '� 5 SINKS LAVS/BASINS,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 - 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: METHOD OF PAYMENT 2 Yac. • Vast:-. .; PLUS PROCESSING FEE: $35.00 0 CASH ❑ CHECK ❑ ❑ l______l==am: TOTAL PERMIT FEE DUE: 59 r iao DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: