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2003, 09-10 Permit App: BLD-03-02427 Plumbing Fixtures
METHOD OF ❑ CASH DATE: Spokane 400* Valley Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 Spokane Valley, WA 99206 509-688-0036 - Phone 509-688-0037 - Fax PROJECT 6,0 rit "I. Gum L- L 0 cc.) dej ADDRESS: 5700/6",g/t/& , fi DESCRIPTION PERMIT USE: OWNER: io0 . jr-6," 4/94,„2.5o/./ PHONE (Daytime Contact): 9 -e.7375- 73 /5•MAILING MAILINGADDRESS: th 0 4/ /t/, w=L.,1.a c...1 S f.a.0 X ,9i✓[y 6✓/9 5 9 "eb 06 AMOUNT (street) (city/state) TOILETS (ZIP) CONTRACTOR: .XA/t,yc/t, exe ft, i-g7sA/ - X LICENSE #: - MAILING ADDRESS: GU 3f1/' o/soA(Rd. ZZ" I, PidfJru'4 9god‘ 2 PHONE #: X (street) (city/state) - (ZIP) PLUMBING FIXTURES 3ANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS / X $6 - 6 oO 2 URINALS X $6 - 3 TUBS X $6 - 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT / X $6 - cro 6 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT X $6 - ern 42 6 DISHWASHER / X $6 - (p at) 7 CLOTHES WASHER / X 56 - 6 0 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X $6 = 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 - 1 1 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6 - 12 FOUNTAINS, DRINKING X $6 - 13 WATER PIPING/DRAIN-IN WAS; E, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X $6 - 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 - 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6 - 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 56 - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT 4 CHECK VISA' M- _-,-, ^ SUBTOTAL: y 11 7 PLUS PROCESSING FEE: $35.00 • UMW • TOTAL PERMIT FEE DUE: 3ANKCARD NUMBER: AUTHORIZED SIGNATURE: