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2005, 04-30 Permit: BD03-186 Piping
SCaro t>t 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone Oorkane Spokane Valley,WA 99206 509-688-0037-Fax Walley For Inspections, call509-688-0054509-688-0054 y �l _.....),_\ /� J i , J715 Plumbing Permit Application f t,T 1i _ 7 j Q 03- (, PROJECT PERMIT ADDRESS: / ?/sJ zi, 6".4447,3 71- USE: OWNER: //// N ��y e/ PHONE(Daytime Contact):,.. 1,p_,�4, r.>-Q MAILING ADDRESS: f� (street) (city/state) (ZIP) CONTRACTOR: / /� LICENSE#: / MAILING ADDRESS: PHONE#: // S'a7 - ?02i/-.S yYS /7 eTG G G —5-' ,-a5 v Y� C�-/'i�est X2c_re-s/ 6.0. `2 ©/1`�' (street) (city/state) (ZIP) • PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6 - 2 URINALS X $6 - 3 TUBS X $6 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 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: METHOD OF PAYMENT (.Do mow VISA tr'asl PLUS PROCESSING FEE: $35.00 0 CASH 0 CHECK 0 0 L__....--2-�. c TOTAL PERMIT FEE DUE: q 1 Ob DATE: `/ p7 6 °.-3 EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: