2007, 12-05 Permit App: 07004771 Plumbing Fixturesj
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
Community Development (509)688-0036 FAX: (509)688-0037
OP wwwsookancvalleY.org
Plumbing Permit Application ❑ Commercial
PERMIT NUMBER Lel 7
PERMIT FEE:
Residential
SITE ADDRESS: )S /I U TT. S "` %QVC
Building Owners /lin
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Name: ra'j Aie
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Phone: -'11) no ..6-7a.3 Fax:
Address:
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Contractor sIda2 V\ i u Lye
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Name:
Phone
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Address, 5.0(815-
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Zip::63677
License No: Sy' ap
City Business Le:
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contatti u T\Yl,
Name:
Phone: &M—p32_55') 7
DESCRIPTION OF WORK
# OF UNITS X COST •
TOTAL AMOUNT
TOILETS
WATER CLOSET. BIDETS
X
$6.00
e
2
URINALS
X
$6.00
TUBS
X
$6.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
x
$6.00
5
SINKS
LAVS/BASINS. 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
8
GARBAGE DISPOSAL
x
$6.00
9
WATER SOFTENER
X
$too
10
ELECTRIC WATER HEATER
NOTE: IF GAS. SEE MECHANICAL
X
$6,00
11
FLOOR DRAINS
AREA, CASE. COIL, TRENCH.
CONDENSATE
x
$6.00
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
0.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
$6.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATCR. SWAMP
COOLER
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE.
AND R.P.B.P.D. FOR: VATS. TANKS,
BOILERS
X
$8.00
18
INTERCEPTORS
GREASE TRAP. SAND TRAP,
CHEMICAL HOLDING TANK
$6.00
19
MEDICAL Gas (per outlet)
NITROUS. OXYGEN
X
$6.00
20
MISCELLANEOUS PLUMBING FIXTURE
x
$6.00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
$15.00
METHOD OF PAYMENT:
OCASH C CHECK VISA 0 MC
Card#
AUTHORIZED SIGNATURE:
REVISED V26/05
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
$35.00
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