Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2008, 11-06 Permit App: 08004404 Plumbing Fixtures
i 000.°N...... Permit Center sj Vall 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER: ` (4(p\- Spokane Valley,WA 99206 (509)688-0036 FAX:(509)688-0037 PERMIT FEE: ( 1 — Community Development www.spokaneval]ey.org Plumbing Permit Application n Commercial esidential/ SITE ADDRESS: lY -2% E. 3D ./ 2ritai,i,& / &„-t- /2 s /�i / Building Owner 'T/}titu ,' I- /X0--71_, Name: Phone: Fax: Address: City: State: Zip: Contractor i ')n Ea„_nK 9 4 Q I A C\ Name: �K�tPhone. g'79 3,4s Fax: Address: 969 f' 4/74u",, ) City: State: Zip: License No: City Business Lic: Contact , Name: «// Phone: t 8 7/ 3�yS DESCRIPTION OF WORK #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 = 6, 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 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 ❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: $35.00 Card# VIN: TOTAL PERMIT FEE DUE: 9/ 2 AUTHORIZED SIGNATURE: 41., / / �"" �/ . //Jilt ' iiztj X‘f-sib912 ,,Ce.„?. , REVISED 8/26/05 / r j (F-7� 3y96----