2006, 05-18 Permit App: 06001894 Plumbing Fixturesicane
Sik�S�alley
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)686-0036 FAX: (509)688-0037
Community Development uwwspokanevallev.or=
Plumbing Permit Application ❑ Commercial ❑ Residential
PERMIT NUIYfBER (g
PERMIT FEE:
SITE ADDRESS: b'll J g
Building Owner
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Name: o(etevvtol( • -r 1 ( te /hotn el(
Phones09- q ./x'23 Fax:
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Address: Z/r/S 22 .S, Que--
Citysr pkiR e 3 ed I e y State:
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Zip: 9 9a 1 P--
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Name:
. Phone: Fax:
Address: 9sis E 6,'/4-0.4i
Cltys / p 1LaJ4r/ State: wet
Zip: ggeR/�
License No• /
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Name:
DESCRIPTION OF WORK
11 OF UNITS X
COST e
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
3
x
$6.00
2
URINALS
X
$6.00
3
TUBS
X
$8.00
4
SHOWERS (PER TRAP)
BATH. STALL ONSITE BUILT
X
$6.00
5
SINKS
LAVSBASINS, BAR, FLOOR KITCHEN.
LAUNDRY, UTILITY, JANITOR PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
x
$6.00
B
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
NOTE: W GAS, SEE MECHANICAL
X
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
56.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
13
FOUNTAINS, DRINKING
X
$6.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING. REVERSAL
NSTALLATION, ALTERATION, REPAIR
REVERSALS
X
$6.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER HOSE BIB,
STEAMER
PROOFS?. CARBONATOR SWAMP
COOLER
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND RP.B.P.D. FOR VATS, TANKS,
BOILERS
X
$6.00
16
INTERCEPTORS
GREASE TRAP, SAND TRAP,
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
NDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
DCASH 0 CHECK 0 VISA ❑ MC
Cards;
AUTHORIZED SIGNATURE:
REVISED 8126105
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
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General/Specialty Contractor
A business registered as a construction contractor with L&I to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
License Information
License
MASHTP"941 C4
Licensee Name
MASHTARE PLUMBING
Licensee Type
CONSTRUCTION CONTRACTOR
UBI
600222125 Verify Workers Comp Premium
Status
Ind. Ins. Account
Id
Business Type
INDIVIDUAL
Address 1
3723 E 13TH AVE
Address 2
City
SPOKANE
County
SPOKANE
State
WA
Zip
99202
Phone
5093625100
Status
ACTIVE
Specialty 1
PLUMBING
Specialty 2
UNUSED
Effective Date
2/24/2006
Expiration Date
2/24/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated
License
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=MASHTP*941 C4 5/18/2006
REPORT: AGY064P1
710-LBL MLSD020
CITY OF SPOKANE VALLEY (995)
Business Structure:
Legal Entity Name :
Firm Name
Location Phone/FAX:
Location Address
In City Limits: Y
Sole Proprietor
RICHARD A MASHTARE
MASHTARE PLUMBING
(509)362-5100
3723 E 13TH AVE
SPOKANE WA 99202
Application Received Date:
02/24/2006
Product/Sery Desc: WHLSL , SVC
NEW CONST PLUMBING
DEPARTMENT OF LICENSING
MASTER LICENSE SERVICE PAGE: 1
AGENCY REQUIREMENTS DOCUMENT (ARD)
DATE: 03/16/2006
(000)000-0000
Operator Comments:
Previous Business License:
Additional Business Activities: General/Specialty Contractor
ORIGINATION / FINAL
UBI Number : 600 222 125 001 0001
Application ID: 06 066 1018
First Date of Business: 02/24/2006
Mail Addr: 3723 E 13TH AVE
SPOKANE WA 99202
Applying as Non Profit Business: N
OLP
- Approvals
- ZONING
- BUILDING
FINANCE
Comments:
e149 -V1 j FIRE
Date
Date
POLICE
Date
Date
•