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2004, 02-24 Permit App BLD-04-03619 Plumbing FixturesMETHOD 0 ❑ CASI3 *lane ,_ .0%lley Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA '99206 509-688-0037 - Fax For Inspections, call 509-688-0054 - 3v PROJECT ADDRESS: b ZI ! O F,rzcF ) PERMIT USE: OWNER: it et- 1 PHONE (Daytime Contact): Cif y 1c/ g �` '-- MAILING A DRESSY (street) (city/state) (ZIP) CONTRACTOR", vrr qL(j- LICENSE #: MAILING ADDRESS: 11 i 6 1 Set- a7Ku 6-1Z-c.• cr ✓sr Goa PHONE #: ?fa (street) (city/state) ' (LU) PLUMBING FIXTURES DESCRIPTION DETAILS # OF LINITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS F X $6 - C. 2 URINALS X $6 - 3 TUBS X $6 - 4 SHOWERS (PER TRAP) BATH, STALL, ON -SITE BUILT 1 X $6 - 6 5 SINKS LAVSBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT X $6 - 4 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X 56 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X 56 - 12 FOUNTAINS, DRINKING X $6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X $6 - 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 - 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X 56 - 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FDTURE X $6 - PAYMENT ] CHECK • VISA' reZ,S :- ^" I ..... ..: %»_'_ SUBTOTAL: 4) i PLUS PROCESSING FEE: $35.00 • ■ TOTAL PERMIT FEE DUE: J / DATE: IRES: BANKCARD NUMBER AUTHORIZED SIGNATURE: