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2003, 07-31 Permit: BD03-758 Plumbing Fixture
0(�074 , r�,r,R 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone ►._7pollanne Spokane Valley,WA 99206 509-688-0037-Fax 400°ValleY For Inspections, call 509-688-0054 Plumbing Permit Application D o31 -75- . " PROJECT L + PERMIT ADDRESS: to 3 a i _g:.z ',"�-�1�� USE: OWNER: 6 K 1, `3 PC 5� 1 1 PHONE(Daytime Contact):/` `�r.\ Y p MAILING ADDRESS:i vs C y ht t�ac t ° C S a '`��'o , .,€\\,. ,-\ c (street) (city/state) - (ZIP) CONTRACTOR: LICENSE#: MAILING ADDRESS: PHONE#: ` J (street) (city/state) (L11.1 PLUMBING FIXTURES © f DESCRIPTION DETAILS #OF LEVITS X COST EQUALS AMOUNT lY 1 TOILETS WATER CLOSET,BIDETS X $6 - M 2 URINALS X $6 I.\ 3 TUBS X $6 - N 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 5 SINKS LAVSBASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6 - RAY,FOOD,PREP/CULINARY/MEAT • 6 DISHWASHER X $6 - 1 7 CLOTHES WASHER g.0N..% L\,r1 ci-. �C'c. S E_\J�) v._ e (.v�j (,--•: C r • X $6 - . 8 GARBAGE DISPOSAL D( t`} .'? ' �c L.�- X $6 - 9 WATER SOFTENER X $6 - 10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL X $6 .- 11 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 - rrr+++ 12 FOUNTAINS,DRINKING X $6 - \ U 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, N(1WASTE VENT,PLUMBING. REVERSALS I X $6 - r REVERSAL (P ,00 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - 3 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, STEAMER,PROOFER,CARBONATOR, X $6 - C SWAMP COOLER -y(� 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND X $6 - 1( RP.B.P.D.FOR:VATS,TANKS,BOILERS r t 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL HOLDING TANK X - ) 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - C.20 MISC.PLUMBING FIXTURE X $6 - NO SUBTOTAL: ETHOD OF PAYMENT 1.00101111111111 `^ . VISA •',}'astg.ca+. PLUS PROCESSING FEE: $35.00 1 CASH ❑ CHECK ❑ EMIR ❑ _ -_ .i • TOTAL PERMIT FEE DUE: 4' 00 STE: EXPIRES: iNKCARD NUMBER: JTHORIZED SIGNATURE: