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2013, 08-21 Permit App: BLD-2013-1658 Plumbing Fixtures 3 z ®� Permit Center � 1�r ZO 13- ( � SS ,10/ °Bane 11707E Sprague Ave_,Suite 106 C P _ _ .000Valley Spokane Valley,WA 99206 (509)688-0036 FAX:(509)688-0037 Community Development www.anokanevafev.orQcom .'i',4:-f- PlumbingPermit Application PP o Commercial esidentaal % Lt • SITE ADDRESS 182 20 q7 itV e :,ti W r ._ � •-•,-4:.:;2.6,:- _-ati�� i��-:� ��•ra7;7?r e Tc{y-' F1s Name: /Q0t e,i' SC/5L e.L(I'1 e4 Phone: `I2 s . s: `y _Address !8'Z 20 re y— 8�9 Fax �.�-t%a- '. _ -, . .. 4 ,y 5 City OIC ��r fats G!/ff- Zi• �d�_, L-k.- k-lr. S`,$ c -,_ �. -cr. 1ST. l am' Name: GEM SEAL MECHANICAL Inc. �'`5- 59 ,P'it,-, Phone: 509 535-5944 Fax: 509 535-9359 � AdamAddress: 5524 BOONE : E. Ci SPOKANE VALLFFate WA �- 290C4 r„ 9��1�, r.,:=;-_-:';-57'i - _ ... -� 1. License • Name,"LJV � . ; �-.nom-,�. r-� -'�.;= - _--, _ � ' -5 ti `- �..F Phone: 5-)7, -5-7 y• j."81..-T--.' DESCRIPTION OF WORK II OF UNITS COST TOTAL AMOUNT e TOILETS WATER CLOSET,BIDETS © $6.00 E $6.00 ul $6.00 inii SHOWERS -ER TRAP HATH,STALL ON-SITE BUILT LAVSIBASINS,BAR,FLOOR,KITCHEN, $6110 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, - $6.00 XRAY,FOOD,PREP/CULINARY MEAT 1111 DISHWASHER • $6.00 CLOTHES WASHER III $6.00 Jj GARBAGE DISPOSAL 11111.1.111111111111.111111111111111 irl $6.00 WATER SOFTENER ®g $6.00 in ELECTRIC HOT WATER TANK NOTE IF GAS,SEE MECHANICALNmin nal $6.00 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE ® ROOF S/OVERFLOW $6.00aIIIIIIIIIII DRAINS lel $6.00 1111111111111 FOUNTAINS,DRINKING Mill el WATER PIPINGIDRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, $6.00 VENT.PLUMBING,REVERSAL REVERSALS el $6,00 SEWAGE EJECTOR GRINDER,SUMP PUMP • ICE AN/OR COFFEE MAKER,HOSE BIB, $6.00 WATER USING DEVICE STEAMER PROOFER.CARBONATOR,SWAMP COOLER $6.00 6,0°OO ill VACUUM BREAKER,CHECK VALVE, CROSS CONNECTION DEVICE AND R.P.B.P.D.FOR; VATS,TANKS,BOILERS EMI IN GREASE TRAP,SAND TRAP, $6.00 INTERCEPTORS CHEMICAL HOLDING TANK lel $6.00 .11111111 MEDICAL GAS(per Duffel, NITROUS,OXYGEN InMISCELLANEOUS PLUMBING $6.00 FIXTURE • $6.00 ® PRIVATE SEWAGEDISPOSAIJSYS M INDUSTRIAL INT RCEP OT R�� • $20.00 �© $15.00 >/MI METHOD OF PAYMENT: SUBTOTAL 1 2,00 © CASH ❑ CHECK 'VISA ❑ MASTERCARD PROCESSING FEE- REDACTED $37.00 REDACTED EXPIRES: L PEWIT FEE DUE: Y9, Co Bank Card # l "-- -3DE: REDA to AUTHORIZED SIGNATURE: `/�.� This document originally contained confidential credit card R51-Co S�1.,. _ v., ec , c information which was redacted pursuant to RCW 19.255.010 / and the original document destroyed pursuant to SOS DAN - GS2014-030.