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2003, 07-10 Permit: BD03-696 Plumbing Fixtures
►S( crit c:Is��,4.�0, ,0" wit, 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone . �..ti3' ne Spokane Valley,WA 99206 509-688-0037-Fax Va.11ey For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT S£AAE R 'W,Ekiwi TE .-0701.4 S4.077C PERMIT ADDRESS: 1/9%22 E ,2Ej 1-4 A✓E USE: ,6 ,0-O 3 - U 7/ OWNER: J Jet i 7,--,-/),e,r PHONE(Daytime Contact): I?�I i� 2/3 9 MAILING ADDRESS: //9x z E ,26 t , -SA o4rec4e_ Valew. 99206 (street) (city/state) (ZIP) CONTRACTOR: �-E 4,J— LICENSE It: MAILING ADDRESS: PHONE it: (street) (city/state) (LIP) • PLUMBING FIXTURES DESCRIPTION DETAILS I OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS k ) X $6 - 6 2 URINALS X $6 - 3 TUBS X $6 - 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 5 SINKS LAVSBASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- I 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 - RP.B.P.D.FOR:VATS,TANKS,BOILERS 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL X $6 - HOLDING TANK 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FIXTURE X $6 - SUBTOTAL: ) 8-- E-10D OF PAYMENTiiiiiii . • trsf PLUS PROCESSING FEE: $35.00 ASH 0 CHECK 0 pima ❑ s . TOTAL PERMIT FEE DUE: 5 3-- .. EXPIRES: :CARD NUMBER: (ORIZED SIGNATURE: ,) 4-ji-, A -7-/0 - 0 PI A 11 D p h.,frl h; :19. k:).,....) Fin, a l 7 .,4-- zne-i,,."