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2003, 09-25 Permit App: BLD-03-02590 Sprinkler System SCTIt<x7, wrr,r,� 11707 East Sprague Avenue,Suite 106 509-688-0036 Phone pokane Spokane Valley,WA 99206 509-688-0037-Fax 400000Valley Plumbing Permit Application PROJECTili,/ PERMIT y J� ADDRESS: it g/9-L( E ' ,,,qUSE: 5 oj„,PZ-K L,A,( S stem OWNER: , 0.1 [/J/,`e/7Pr PHONE(115aytime Contact): t. MAILING ADDRESS: (street) (city/state) (ZIP) CONTRACTOR:%)u nR/ , ;- 1.----„r la/ LICENSE#: ng jL p �J 2. MAILING ADDRESS: / ! 61447-- �-1 JJ PHONE#: / / 1, E IP C7 ( asccdp p(' 7 . 79 7 V SPoithne ir.l 9920&' (street) (city/state) (ZIP) ' PLUMBING FIXTURES DESCRIPTION DETAILS #OF UMTS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6 - 2 URINALS X $6 - 3 TUBS X $6 - 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 5 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, ` LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6 - RAY,FOOD,PREP/CULINARY/MEAT 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 - 8 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 - 12 FOUNTAINS,DRINKING X $6 - 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, WASTE,VENT,PLUMBING REVERSALS X $6 - REVERSAL 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, STEAMER,PROOFER,CARBONATOR, X $6 - SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND X $6 - R.P.B.P.D.FOR:VATS,TANKS,BOILERS 17 -SPRINKLER SYSTEM 1/ X $25 - --;PT.,, /K`)- /> 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL I HOLDING TANK X $6 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FIXTURE 4 -- X $6 Y. SUBTOTAL: T .."-41-r7"7:46 -�HOD OF PAYMENT _ rirp, C/ IMMO WU ' • 44` PLUS PROCESSING FEE: $35.00 CASH 0 CHECK 0 IMMIll ❑ :_. _..-..:_:4._; - TOTAL PERMIT FEE DUE: TE: EXPIRES: VKCARD NUMBER: THORIZED SIGNATURE: