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2003, 06-17 Permit: BD-03-661 Plumbing FixturesIETHOD OF ] CASH ATE: QTY cx' Spokane Valley Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 PROJECT ADDRESS: �(7 w` (0 w # OF UNITS PERMIT / USE: e z) 3 -� C'� �/ OWNERPHONE 0E74- h,z h'L'Sti= AMOUNT (Daytime Contact): MAILING ADDRESS: Wil? h w`. l(u4. yckp .ff u.A 74-2—, "i (street) 6 2 (city/state) (ZIP) CONTRACTOR: ,�,, "V�1Z r wv X Ell - LICENSE #: 3 MAILING ADDRESS: -102' Pt f t rt-- s70et-H.,t '-'-4 PHONE #: .- 9c -z -- (street) BATH, STALL, ON-SITE BUILT (city/state) (LU') . PLUMBING FIXTURES 4NKCARD NUMBER: UTHORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS l X $6 - 6 2 URINALS X $6 - 3 TUBS X $6 .- 4 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT• [ X $6 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 WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS i 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 - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT ❑ CHECK fre..5 ,? PLUS �- --.... _ SUBTOTAL: PROCESSING FEE: $35.00 ■ ■ TOTAL PERMIT FEE DUE: S� 64-0 4NKCARD NUMBER: UTHORIZED SIGNATURE: