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2003, 12-26 Permit App: BLD-03-03336 Plumbing Fixtures
DEC 19 2003 10: 17 FR TO 12087727360 P.01/02 San 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone ,5po°iane Spokane Valley,WA 99206 509-688-0037-Fax doleY I___ Inspections, call 509-688-0054 Plumbing Permit Application -- -- 33 C1 PROJECT th PERMIT ADDRESS: l; . 70 /5 -- /61-941/E;1 SP�OKy(f. VA<.1.-Er USE: K f l'i O O if 1--- OWNER: (314_4. S l E 6 ct PHONE(Daytime Contact): 5-p r — q 2 z -- /9 4, 1 MAILING ADDRESS: PYO , 80x /35/e, S2Ok4Afg, (//-{LLEy, &// 9 ?:2/3 (street) (city/state) . (ZIP) CONTRACTOR: C rl p/r/4„... hum 8//Uv ,,,/-/E4 uNU LICENSE it: C p/917-P N 9 81 .J MAILING ADDRESS: PHONE 1: 6/7'56. N. 601/6.,?N//1r_/tiT G6)14y ,p20g-765 - 9W95 b /44-. .-7-64/ G f}R D E-4/s , /0 e3 g/.S 5-4, ',„26,8 7 Z 73 0 (street) (city/state) (ZIP) - 1 111 PLUMBING FIXTURES DESCRIPTION DETAILS it OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS / X $6 - (p. 0 G 2 URINALS X $6 - 3 TUBS I X $6 - (a, 0 0 4 SHOWERS(PER TRAP) BATH,.STALL,ON-SITE BUILT X $6 - 5 SINKS LAVS/BASINS,BAR FLOOR KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- „Z X $6 - 1,2, 0 0 RAY,FOOD,PREP/CULINARY/MEAT 6 DISHWASHER X $6 - 7 CLOT HES WASHER X $6 B 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 - 11 FOUNTAINS,DRINKING X 56 - . 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, WASTE,VENT,PLUMBING REVERSALS X $6 - REVERSAL 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - 15 WATERI>SING DEVICE ICE AND,vR CCFPEE MAKER,LIO E Sia, STEAMER,PROOFER,CAPBONATOP. X $6 - SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND I X $6 - RR P.B.P.D.FOR:VATS,TANKS,BOILERS Gj . 00 17 SPRINKLER SYSTEMX 525 - _ 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL X $6 - HOLDING TANK - _ _ 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - _ 20 MISC.PLUMBING FDCTURE X S6 - METHOD OF PAYME T1 SUBTOTAL 3 0,00 • .t.tsl zef. PLUS PROCESSING FEE: $35.00 ❑ CASH �c1-lEcx 0 0 ---_`".': TOTAL PERMIT FEE DUE: (0 5.00 D}`E: EXPIRES: SANKCARD NUMBER AUTHORIZED SIGNATURE: