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2008, 04-15 Permit App: 08001389 Plumbing Fixtures J w Sp Permit Center i'Oliane 11703 E Sprague Ave,Suite B-3 ��Valle PERMIT NUMBER: d 1 � y Spokane Valley,WA 99206 (509)688-0036 FAX:(509)688-0037 PERMIT FEE: 7 Z) Community Development wwwspokanevallev.ore �-) Plumbing Permit ` Application/ yn Commercial 111 Residential SITE ADDRESS: _ 1 Lig I(� , / -3+ L Building Owner F-rc,I r w i Name: Phone: Fax: Address: Ii1 j�/Q l 3-+-k- City: U q C(� l` 7State: / Zip: 70 Contractor ``�r ( / Name: �'V'O N v Phone: 111 Fax: Address: 1, 1`/1 1"C00 3 g N.� City: State: Zip: License No: a" City Business Lic: Contact ct. tan-cr._ Name: Phone: ,(/. j 9 Q0 DESCRIPTION OF WORK '1, #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 = LAYS/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 WATER HEATER NOTE: IF GAS,SEE MECHANICAL "`T(T 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 DISPOSAUSYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X_ $15.00 = SUBTOTAL METHOD OF PAYMENT: PROCESSING FEE Ga ASH 0 CHECK 0 VISA 0 MC EXPIRES: $35.00 Card# VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05