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2012, 07-10 Permit App: BLD-2012-1064 Plumbing Fixtures
Mal arFss TO: 1658 'ON hvos:6 1oa.o Nr awil pania3ay Mw or EFCevnll J.InG PO Box 574 �\ PermitCrntes Vfimdel6 WA 9903] 11707 Spwgue A—,S. 106 .8892-w32 PERMIT NUMBER: j�aller Spokave Valry, WA W206 (509)688-0036 FAX: (509)MB 0037 PERMIT FEE: CooVomiry Development o.v{.>ps1$i-.a1I l v_k m p6...n6.:nn pam if A.1icafion 1-1 Commercial ® Residential _ SLTE AUDRrss: _4111 N Woodlaw Bmla' wrno DESCRIPTION OF WORK Name: Mad Phone: 294-0838 Fax COST Adareas: SAME Ci Stag: Zip: Contractor WATER CLOSET, BN3ETS 1 Name: Nomi s Exenva Inc Phone: 509N2 90 F. 509/892-0432 Address: PO Box 574 cftv: Vr.". Sm¢: WA Zip: 99037 License No: NORMSEI972BM City Bwiness U.. No: X Contact = Name: Shcila Gibbons Phone: 92845W AUTHORIZED SIGNATURE: -–"•.�'•A� ��" aeVlseoeaxos —A Rcc:cn ' T nT Tnr DESCRIPTION OF WORK OOFUNITS % COST TOTAL AMWRT 1 TOILETS WATER CLOSET, BN3ETS 1 % Nice = 8.00 2 URINALS X $6.00 = 5 TUBS X 0,00 = 4 SHOWERS PERT BATH STALL ONSITE BUILT 5 SINKS LAVSIBASINS, BAR, RW R KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO. X4 Y, FOOD PREP/CULINARY MEAT 1 X W.w = 6.0 B OISHWASHER X $B.00 = T CLOTHES WASHER %V- 8 8 GARBAGE DISPOSAL X8 WATER SOFTENER %10 ELECTRICHOTWATERTANK NOTE: IF GAS SEE MECHANICAL11 FLOOR DRAINS AR CASE COI TRENCH CONDENSATE %ROOF 12 ORNNSJOVERROW DRAINS13 FOUNTAINS DRINKING XWATER 14 PIPINGIDRAIN-IN WASTE, VENT PLUMBING REVERSAL NSTALLATION, ALTERATION. REPAIR, REVERSALS 1 X 6.0015 SEWAGE EJECTOR GRINDER SUMP PUMP XICE 16 WATER USING DEVICE WOR COFFEE MAKER, HOSE BIB, STEAMER PROOFER CARSONATGR SWAMP COOLER X 66.00 17 CROSS CONNECTION DEVICE VACUUM BREAKER. CHECK VALVE, AND R.PJ3.P.D. FOR: VATS TANKS BOILERS % 66.00 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 66.00 19 MEDICALGIS roWa0 NITROUS OXYGEN % 66.00 - 20 MISCELLANEOUS PLUMBING FIXTURE X 66.OD - 21 PRIVATE SEWAGE DISPOSAL/SYS X &211.00 22 INDUSTRIAL WASTE INTERCEPTOR X SIS.w - METHOD OF PAYMENT: 0 GSH 0 CHECK ® VISA O MASTERCARD Cetds Sae Cover Sheet EXPIRES: SUBTOTAL me PROCESSING FEE 37.00 TOTAL PERMIT FEE WE: 61.00 AUTHORIZED SIGNATURE: -–"•.�'•A� ��" aeVlseoeaxos —A Rcc:cn ' T nT Tnr