Loading...
2007, 10-23 Permit App: 07004250 Plumbing Fixtures a Permit Center a ]1703 E Sprague Ave,Suite B-3 SpoTxkane Spokane Valley,WA 99206 PERMIT NUMBER:440 'S Valley (509)688-0036 FAX:(509)688-0037 PERMIT FEE: f )/ wtivw.s x>kanevallev.ore Community Development Plumbing Permit Application n Commercial I I Residential SITE ADDRESS: - W coo -o q_C Building Owner Name: S kOS CI 0:3. Phone: 9 9 Q S Fax: Address: 35 (� ,�s City: ` � Oci11 State: L )Q Zip: Q'�/ Contractor ce\ �vtg Y(k) V `� ( �'(p Name: 1 `� Phone: Fax: V Address: City: State: Zip: License No: City Business Lic: Contact Name: Phone: DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS , X $6.00 = 2 URINALS X $6.00 = 3 TUBS X $6.00 = I 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 • = LAYS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 = X-RAY,FOOD,PREP/CULINARY MEAT i 6 DISHWASHER I X $6.00 =I 7 CLOTHES WASHER X $6.00 = 8 GARBAGE DISPOSAL I X $6.00 = • 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 = AREA,CASE,COIL,TRENCH, 11 FLOOR DRAINS CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS,DRINKING X $6.00 = WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, 14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 = ICE AN/OR COFFEE MAKER,HOSE BIB, 16 WATER USING DEVICE STEAMER X $6.00 = PROOFER,CARBONATOR,SWAMP COOLER VACUUM BREAKER,CHECK VALVE, AND R.P.B.P.D.FOR: VATS,TANKS, 17 CROSS CONNECTION DEVICE BOILERS X $6.00 = GREASE TRAP,SAND TRAP, 18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X_ $15.00 = SUBTOTAL METHOD OF PAYMENT: PROCESSING FEE ❑CASH ❑CHECK ❑VISA ❑MC EXPIRES: $35.00 Card# VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05