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HomeMy WebLinkAbout2014, 01-16 Permit App: BLD-2014-0063 Plumbing Fixtures O1/16/2G14 16:12 FAX 509 535 9359 GOLD SEAL NEM. Q002 Permit Center tafrW 1 (:-:-OD b3aQvigeopir�l� 1(707&Sprague Ave,Suite 106 _ _-_____ e'ii ( Spokane Valley,WA 99206 (509)688-0036 FAX:(509)685-0037 Community Development www,snokanevallev.org.com : Plumbing Permit Application o Commercial esidential SITE ADDRESS r/51 T r MitiV, `JxJ' '�iY?� d:.a Z: l4 : �k `3 r-�iy;r.-' '�:' ... � , � SLS Name, l�LC/� � � _ _._� ��.,�. _ - - --- • AddressPhone _ 6 FaX '�E':,� J 'v', ;.il Y: h vu G� s � R'c�'`"••--.R`'-:7id.'7:� - V�G e_ .Sta I�/ ...�. za& r �`=^v tee:-_-2 fir' ; rY ?;.c f8 Zi. A/ . Nance: t► {: EAL MECHANICAL * � 1 9 'may _ Inc. 5524 E. BOONE Phone: Address: .._ 509 535-5944 'S9.: Fax: License No: — _ _GOLDSM* Z 9 0 C4 ci SPOKANE:VALLg�� WA. 535 93 r. r.- 'cr- __ _ -- r Y ___: Ci Business I<_ ,> ,` 7----- ' 7,5 �1 ~'t :'� =_ sLieenseNo: am-- E,_i•_ _ =:1 ..,,,. ,--f. is -=_ - ,.: ' �. z;�, __ _ _- -- - __—teaS''�..z-r Name / .?1! := = '_ = t�x -t; w-"•-•;'-. 1.---7.7:-:=-1- r-7 — Phone: DESCRIPTION OF WORK TOILETS 110F UNITS n COST WATER CLOSET BIDETS MI MI .111 TOTAL AMOUNT1111111.11191 $fi DO �IIIIIIIIIe 56.00 MI in SHOWERS PER TRAP BATH,STALL,ON-SITE BUILT fl $B.OD is LAVS/BASINS,BAR,FLOOR,KITCHEN, © $6.00 III LAUNDRY,UTILITY,JANITOR,PHOTO, X-RAY,FOOD,PREP/CULINARY MEAT $s.00 DISHWASHER �© imanimm CLOTHES WASHER immemmoin $ 6.00 IN GARBAGE DISPOSAL �© $6.00 isanum n GARBAGE ASOFTENER © MOO ELECTRIC HOT WATER TANK �© MOD 1.111111111111111 NOTE: IF GAS,.SEE MECHANICAL 1111.......... . , eo ® FLOOR DRAINS AREA.CASE,COIL TRENCH,CONDENSATE _a $6'00 00 nuem ® ROOF DRAINS/OVERFLOW Ss.00 DRAINS. �� INLIIMIIIIMMINE ® FOUNTAINS,DRINKING o pil WATER PIPINGORAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, �� $6-00 VENT PLUMBING.REVERSAL REVERSALS �© iii SEWAGE EJECTOR $6.OD nall11111111/ �O GRINDER SUMP PUMP 11111M! 111 WATER USING DEVICE MINININIIII ICE AN/OR COFFEE MAKER,HOSE 818, $6.00 STEAMER PROOFER,CARe0NATOR,SWAMP COOLER as-00 Iffll VACUUM BREAKER,CHECK VALVE, jai lam CROSS CONNECTION DEVICE AND R.P.B.P,D,FOR: VATS,TANKS,BOILERS ��e, r aP3, IIIIIIIIIIIM ell INTERCEPTORS GREASE TRAP,SAND TRAP, �© CHEMICAL HOLDING TANK et' • el MEDICAL GAS 'erautlel _� $6.00 6-00 MENIIII.11 15 MISCELLANEOUS PLUMBING NITROUS,OXYGEN 1111 FIXTURE � s 5.00 immen PRIVATE SEWAGEDISPOSAUSYS - 20.00 irimmen pi INDUSTRIAL WASTE $20.00 INTERCEPTOR $15.00 METHOD OF PAYMENT: SUBTOTAL 0 CASH ❑ CHECK PROCESSING FEE• !?r!�Q _ ❑ MASTERCARD • $37.00 Bank Card # REDACTED EXPIRE ncn n^.r.r-� , OTAL PERMIT FEE DUET ill 00 •AUTHORIZED SIGNATt.ixu: This document originally contained confidential credit card �� S Cs� information which was redacted pursuant to RCW 19.255.010 mc_ ""r c and the original document destroyed pursuant to 505 DAN GS2014-030.