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2006, 06-19 Permit App: 06002389 Plumbing Fixtures
Project Number: 06002389 Inv: 1 Application Date: 06/19/2006 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: �.,x,m.xxr aa�n✓wro*%i4'$$JY#V4-:«: ... ,..., +.ti ,.a.,-.,m r,.eA,'NUkGL,.«,3N ...k ._.. ..r-.«m«' - �x81WX5 _,.v" v�ss_..,,..,,.r.,et.,,.?:ev _: ,-,_r Permit Use: MISC PLUMBING FIXTURES FOR FIRE Contact: FAUCETS N STUFF RESTORATION Address: 12205 E 1ST AVE C-S-Z: SPOKANE,WA 99206 Setbacks:Front Left: Right: Rear: Phone: (509)924-8881 Group Name: Project Name: Site Information Plat Key: 001230 Name: HILLCREST ACRES 07TH ADD District: Sout Parcel Number: 45273.2917 Block: Lot: SiteAddress: 12415 E 27TH AVE Owner:Name: WARFIELD,JOHN D Address: 12415 E 27TH AVE Location::CSV SPOKANE VALLEY,WA 99216 Zoning: SFR Water District: Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 50 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: _K .: � � Plumbing Permit Contractor: FAUCETS N' STUFF LLC Finn: FAUCETS N'STUFF LLC Address: PO BOX 813 Phone: (509)924-8881 VERADALE,WA 99037 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 2 NUMBER OF $12.00 SINKS 3 NUMBER OF $18.00 SHOWERS 1 NUMBER OF $6.00 TUBS 1 NUMBER OF $6.00 DISH WASHERS 1 NUMBER OF $6.00 GARBAGE DISPOSAL 1 NUMBER OF $6.00 CLOTHES WASHER 1 NUMBER OF $6.00 FLOOR DRAINS 1 NUMBER OF $6.00 WATER PIPING-DWV 1 NUMBER OF $6.00 PROCESSING FEE 1 SELECT $35.00 Permit Total Fees: $107.00 Operator: MT Printed By: MT Print Date: 06/19/2006 Project Number: 06002389 Inv: 1 Application Date: 06/19/2006 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: . ..µ 00.. *. , VM, ...-1.74Z.VVVORJ,a UIV au = Payment Summary _.. . mim .',#INVMPEMRMAA., -.-: �, Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Plumbing Permit $107.00 $107.00 $0.00 $107.00 $107.00 $107.00 $0.00 $107.00 Disclaimer: Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: MT Printed By: MT Print Date: 06/19/2006 Permit(...enter _. ..... Sp©afle ® 11707E Sprague Ave,Suite 106 Spokane Valley,WA 99206 PERMIT NUMBER (Ac �� Valley (509)688-0036 FAX:(509)688-0037 Community Development www.pokanevallev.ore PERMIT FEE: . ; ; , . Plumbing Permit Application ❑ Commercial f2 Residential SITE ADDRESS: Building Owner Name: • Phone: Fax: Address: `.2)(7/��' �J City -*":440)440,,:i L�p��,`,d, State: j Zip: LtI Contractor % �f'J Name: f/ J " TS �/� r 7 rVP j (rL t.?�✓e:P�+i Phone: sv�`12Z/6/e ! Fax c-V r_T Z'. —,30V)2— , Address: i-z—z / ' / �- �_ City:c; ,l '7v/ 1 tate: '"�l� ` Zip: 2O �r� J�4 License No: � � City Business Lic: 1 Contact - -- -,-ii.-:7-;;,V,, . . Name: Phone: DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS .2_ X $6.00 ` = 1 2 URINALS X _ $6_DD = 3 TUBS j X _ $6.00 = 4 SHOWERS(PER TRAP BATH,STALL,ONSITE BUILT 1 X $6.00 = LAVS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 = t ( ' X-RAY,FOOD,PREP/CULINARY MEAT / 6 DISHWASHER ( X $8.00 = 7 CLOTHES WASHER ( X $6.00 = 8 GARBAGE DISPOSAL r X $6.0D = 9 WATER SOFTENER X $6.00 = 10 r ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 = AREA,CASE, IL 11 FLOOR DRAINS CONDENSA E ENCH, / 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, j 14 VENT,PLUMBING,REVERSAL REVERSALS I 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 DISPOSAL/SYS X $20.00 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 _ SUBTOTAL METHOD OF PAYMENT: PROCESSING FEE ❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: $35.00 Card# VIN: TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED srz6m5