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2003, 07-28 Permit: BD-03-843 Plumbing Fixtures
-IOD 0 LSH ,,.#Va11ey Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 -5/_:.1-13 PROJECTPERMIT ADDRESS: 7 aO ` J Li 7/1 USE: �� W¢ # OF UNITS X OWNER: -17,41s. f Pr:'i / 0 �% PHONE (Daytime Contact): ?ze,.• $' 7 2 MAILING ADDRESS: (9/17 Scat F4- J L z U �I9G2 - • (street) URINALS (city/state) • (ZIP) X $6 CONTRACTOR: 3 LICENSE 4: X MAILING ADDRESS: - PHONE it: SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X E6 (street) SINKS (city/state) (ZIP) • • $6 PLUMBING FIXTURES CARD NUMBER: ORIZED SIGNATURE: N DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6 - 2 URINALS X $6 - 3 TUBS X $6 - 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X E6 5 SINKS LAVSBASINS, BAR, FLOOR KITCHEN, LAUNDRY, UTILITY, JANITOR PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT X $6 - • 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X $6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6 - 12 FOUNTAINS, DRINKING X $6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING . REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS ' X $6 , - C7t7 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 - 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND RP.B.P.D. FOR: VATS, TANKS, BOILERS X - 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK • X - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT CHECK MOM ° V1 _ - - . • SUBTOTAL: A ° a PLUS PROCESSING FEE: $35.00 ❑ Winn ■ _______ TOTAL PERMIT FEE DUE: q ( ,c,1,2, CARD NUMBER: ORIZED SIGNATURE: N