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:
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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 -
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BUILDING POLICE -
Date Date - V \QM
- FINANCEkk\
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- Comments: