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2014, 09-12 Permit App: BLD-2014-2183 Plumbing FixturesPermitcux Project -2oey Zts3 7� n'e_ 11707 E SPRgue Ave, Suite 106 Spokane Valley, WA 99206 MR 1 !sw°Y__ k'- M (509)6884)076 FAX: (509)69341(137 + Cotmwnity Development vrnw s0okanevallcv ore com - ?Y{ Plumbing Permit Application In Commercial W Residential SITE ADDRESS CSV PER^dIT CENTER X COST LAM TOTAOUNT 1 TOILETS Name: D7 04 Phone L % Address: Cory State Zi 2 ww Name: Gold $eal Phone: Fax: sam Address: City Stale Zi License No: City Business License No: X .W Name: es t Phone: 2I 'd - t-192 SHOWERS ERTRAP AUTHORIZED SIGNATURE: aavlsrn ysyaa DESCRIPTIONOFWORK SOF/UNITS X COST LAM TOTAOUNT 1 TOILETS WATERCLOSET BIDETS t0 % .00 - �6 2 URINALS X sam 3 TUBS X .W Zy 6 SHOWERS ERTRAP BATH, STALL, ON-SITE BUILT X Sam - 5 SINKS LAVSIBASINS, BAR FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, XRAY FOOD, PREPKXILINARY MEAT X $6.w il0 6 DISWASHER N.w T CLOTHES WASHER Z X .00 IZ 8 GARBAGE DISPOSAL X Sam e WATER SOFTENER X 56.00 - 10 ELECTRICHOTWATERTANK NOTE IF GAS SEE MECHANICAL X 11 FLOOR DRAINS AR CASE COI TRENCH CONDENSATE X Ss.w - 12 ROOFDRAINS+OVERPLOW DRAINS X Sam - 13 FOUNTAINS DRNKING X 66.00 16 WATER PIPING,DRAN-IN WASTE, VENT, PLUMBING, REVERSAL NSTAIATION, ALTERATION, REPAIR REVERSALS - 15 SEWAGE EJECTOR GMNDER. SUMP PUMP X $6.w - 16 WATER USING DEVICE ICE MOOR COFFEE MAKER HOBE BIB, STEAMER PROOFER CaFtBONKTOK SWAMP COOLER y X 50.00 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR VATS TM1KS,BOILERS X SagoGREASETRAP,SANDTRAP,INTERCEPTORS CHEMICAL HOLDING TANK X 50.00MEDICALGAS rou5at NRROUS OXYGEN X ss.wMISCELLANEOUS [17 PLUMBING FLKTUREPRIVATE SEWAGE OISPOSAUSYS%A.W __INDUSTRIALWASTE INTERCEPTOR x 6,5.00 - ! 5 ro METHOD OF PAYMENT: I7 CASH ❑ CHECK ❑ VISA ❑ MASTERCARD DATE E)(PIRES: SUBTOTAL PROCESS ING-FEE 535.00 TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: aavlsrn ysyaa