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2006, 05-18 Permit App: 06001895 Plumbing Fixture Permit Center ,Sg".0000`fle 11707 E Sprague Ave,Suite 106 PERMIT NUMBER:f? Valley Spokane Valley,WA 99206 (509)688-0036 FAX:(509)688-0037 PERMIT FEE: Community Development www spokanevallev.oro Plumbing Permit Application ❑ Commercial rr Residential SITE ADDRESS: 03 2 3 4- 11, 3Z5" I ( 7 H 4 v� Building O er Name: V I Phone: Fax: Address: 1 3 2_3 I. 113 2f it s u6- City:61"O f*404/4- t,*State: ' ` 1 Zip: , z I Contractor 1z p Name: d� - 6(' f?( of P( � Phone: 2 O ` I L f Fax: Address: Lip 2 LQ G u f . City I State: Zip: .. License No: �(-} Q 5 L5 City Business Lic: Contact Pc Name: Phone: DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6.00 = 2 URINALS X $6.00 = 3 TUBS X $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL ON-SITE BUILT X $6.00 = LAVS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 = X-RAY,FOOD,PREP/CULINARY MEAT 6 DISHWASHER X $6.00 = 7 CLOTHES WASHER ' X $6.00 = 8 GARBAGE DISPOSAL X $6.00 = 9 WATER SOFTENER X $6.00 = 10 - ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 = AREA,CASE,COIL TRENCH, 11 FLOOR DRAINS CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS,DRINKING X $6.00 _= WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, 14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 = ICE AN/OR COFFEE MAKER,HOSE BIB, 16 WATER USING DEVICE STEAMER X $6.00 = PROOFER,CARBONATOR,SWAMP COOLER VACUUM BREAKER,CHECK VALVE, AND R.P.B.P.D.FOR: VATS,TANKS, 17 CROSS CONNECTION DEVICE BOILERS X $6.00 = GREASE TRAP,SAND TRAP, 18 INTERCEPTORS CHEMICAL HOLDING TANK X $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 = SUBTOTAL METHOD OF PAYMENT: PROCESSING FEE ❑CASH (CHECK 0 VISA 0 MC EXPIRES: $35.00 Card# VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED srz6/os REPORT: AGY064P1 DEPARTMENT OF LICENSING DATE: 10/27/2005 710-LBL MLSD020 MASTER LICENSE SERVICE PAGE: 41 AGENCY REQUIREMENTS DOCUMENT (ARD) CITY OF SPOKANE VALLEY (995) ORIGINATION / FINAL *** PRIOR RFI/RFP *** UBI Number : 602 507 112 001 0001 Business Structure: Profit Corporation Application ID: 05 160 0070 Legal Entity Name : ATTA-BOY PLUMBING, INC. / / Firm Name : ATTA-BOY PLUMBING, INC. Location Phone/FAX: (509)270-1114 (000)000-0000 Location Address : 4021 N LOCUST RD Mail Addr: 4021 N LOCUST RD SPOKANE VALLEY WA 99206 SPOKANE VALLEY WA 99206 In City Limits: Application Received Date: 06/08/2005 Product/Sere Desc: PLUMBING BUSINESS. Operator Comments: - ApprovalsI _ 4/..- ZONING /V ,31 S FIRE / - Date Date - j-S. j BUILDING POLICE - Date Date - V \QM - FINANCEkk\ 0 - Comments: