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2005, 05-09 Permit App: 05001444 Cross Connect
Received: 4/13/04 10:32AM; -} HaaseLandscape Inc. ; -age ' APR 13 2004 10:10 FR TO 9260271 P.01/01 p$— (4 44 PLUMBING PERMIT APPLICATION Sarrolikan City of Spokane Valley Community Development Department poa BuildingDivision �Ql�� 11707 E. Sprague Avenue, Suite 106 y Spokane Valley, WA 99206 Phone: (509)688-0036;Fax; (509) 688-0037 FOR INSPECTION., CALL(509) 688-0054 Project Address: 13 17-- S , V( f C)i`n' c Permit Use: Owner: 1 Cc-k-(---y S) 0&S Phone (Daytime Contact): _ Mailing Address: (3)Z S. VI' r J�,'y.i`c-, .spo Kc,'ic V i)Q.y WA 99Z) (o City State Zip Code Contractor: -0-t 5 e- L c c-c,�>c License#: (- or.t---70 Lo Phone#: q z. 6 - 7950 Mailing Address: / ZZo'Z E r Tk.0 rpZ Iec' 51x (ccs-•e WA g9zo C. City State Zip Code 0 OF TOTAL DESCRIPTION OF WORK UNITS X COST • AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6.00 = -2 URINALS X $6.00 a 3 Tues . x $6,00 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT _ X $6,00 = 5 SINKS LAVS/BASINS,BAR,FLOOR, KITCHEN,LAUNDRY,UTILITY. X $5.00 = JANITOR.PHOTO.X-RAY,FOOD, PREP/CULINARY/MEAT • 6 DISHWASHER X_ $6.00 = - 7 CLOTHES WASHER X $6.00 = 8 GARBAGE DISPOSAL X $6.00 = 9 WATER SOFTENERX $6.00 _ _10ELECTRIC HOT WATER TANK NOTE; IF GAS,SEE MECHANICAL, X 36.00 = 11.. FLOOR DRAINS AREA,CASE,COIL,TRENCH, X $6.00 = CONDENSATE 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 , - -13 FOUNTAINS,DRINKINGX $8.00 - 14 WATER PIPING/ORAIN•IN WASTE, INSTALLATION.ALTERATION, X $6.00 = VENT, PLUMBING,REVERSAL REPAIR,REVERSALS - - 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X 36.00 - 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB.STEAMER,PROOFER. X $6.00 = CARBONATOR,SWAMP COOLER 17 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND R,P.B.P.D,FOR: X $6.00 = G , 00 VATS,TANKS,BOILERS 18 INTERCEPTORS GREASE TRAP,SAND TRAP, X $6.00 = CHEMICAL HOLDING TANK , 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $0.00 = METHOD OF PAYMENT: SUBTOTAL , 0 CASH 0 CHECK ❑ VISA © MASTERCARD PROCESSING FEE 336,00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: ff'L//• 00 BANKCARD NUMBER: AUTHORIZED SIGNATURE: