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2003, Permit: BD03-261 Sprinkler System
Sarotx jru& 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone kanne Spokane Valley,WA 99206 509-688-0037-Fax Walley For Inspections, call 509-688-0054 Plumbing Permit Application RD C13 -,1 LF I PROJECT PERMIT ADDRESS: j �tg G, aUSE: OWNER: t -1r KA/,1 1 �j,(d M PHONE(Daytime Contact): 6: /-1(1111 I-1(LR MAILING ADDRESS: 1p is C G rre,,ctor'e4_J Lu/1-( 1- (-1616/c, (street) (city/state) (ZIP) CONTRACTOR: LICENSE#: MAILING ADDRESS: PHONE#: .s�.. � (s et) (city/state) (Lu') PLUMBING FIXTURES 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 $6 - 5 SINKS LAVSBASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6 - RAY,FOOD,PREP/CULINARY/MEAT 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 INSTALLATION,ALTERATION,REPAIR, WASTE,VENT,PLUMBING REVERSALS X $6 - REVERSAL 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, STEAMER,PROOFER,CARBONATOR, X $6 - SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND X $6 R.P.B.P.D.FOR:VATS,TANKS,BOILERS 17 SPRINKLER SYSTEM I X $25 - C 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL X $6 = HOLDING TANK 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FLXTURE X $6 - SUBTOTAL: METHOD OF PAYMENT id'ast PLUS PROCESSING FEE: $35.00 0 CASH G26HECK ❑ IMMO ❑ ,.........2.."...-2-., TOTAL PERMIT FEE DUE: (p a U0 DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: