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2006, 07-24 Permit App 06002841Hula L 5 20V15 16: 25 FR iodie \lira* PLUMeiNV Pit t MI 1 ArrL-IL.M t lvty Phone: (509) 688-0036; FAX: (509) 688-0037 For Inspections, Call (509) 688-0054 Project Address: 9 222. L . e eD/440/4y Owner. A/C/ t_ Si /1 P 5 on/ TO 9223118 P.01/01 i out my Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 -1 Permit Use: Phone (Daytime Contact): Mailing Address: 03 C. /3,Po A/� 14,Ay S09e Lo ri.a- Va11l1 (A- l 9 Qz./ 2 CItY /)1 �IJt. E� �d )$ elt�I! Contractor. AV 0 C i2$ on S S r'c7- rn.4TAt License it: AND6--eviJ /58,se Phone #: Mailing Address: Zip Code 92t'•OYloo City State Zip Code DESCRIPTION or WORK a OF UNITS X COST . - TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS , X se.00 2 URINALS X $6.00 3 TUBS . X S5.00 4 SHOWERS (PER - - sA STA ON -SITE BUILT 56.00 II 6 SINKS [AVSIBASINS. BAR. FLOOR. KITCHEN, LAUNDRY, UTILITY. JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT X $6.00 8 DISHWASHER X 56.00 7 CLOTHES WASHER X $6.00 = 6, ov 8 GARBAGE DISPOSAL X 58.00 9 WATER SOFTENER $6.00 = 10 © FGTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL 56.00 a 11 FLOOR DRAINS AR CAS COI TRENC CONDENSATE II $6.00 = RROIN DRAINS/OVERFLOW12 DRAINS 56.00 : 1111.1.11111 - O 13 FOUNTAINS, DRINKING 111 58.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL NSTAL1AT10N, ALTERATION, REPAIR, REVERSALS III56,00 1s SEWAGE EJECTOR GRINDER, SUMP PUMP X $8.00 ;--- 18 WATER USING DEVICE ICE. AN/Oft COFFEE MAKER, HOSE BIB, STEAMER X 56.00 - 17 CROSS CONNECTION DEVICE VACUUM BREAKER CHECK VALVE, AND R.P.B.P.D. FOR: VA TANK BOILERS 58.00 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK $6.00 19 MEDICAL GAS .. r outle. NITROUS OXYGEN 56.00 20 MISCELLANEOUS PLUMBING FIXTURE 56.00 21 PRIVATE SEWAGE DISPOSAL/SYS $20.00 a 22 INDUSTRIAL WASTE INTF CEVTOR X $15.00 = METHOP OF PAYMENT: 0 CASH ❑CHECK ❑ VISA © MASTERCARD SUBTOTAL PROCESSING FEE $15.00 DATE EXPIRES: TOTAL PERMIT FEE DUE: C,/ rf 0-0 BANKCARD NUMBER: AUTHORIZED SIGNATURE: *c< Tf1TAl PQVP Gt1 >k>4c