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2005, 02-04 Permit App 05000338 Plumbing Fixtures, ROW an'o �' 11707 East Sprague Avenue, suite iub �u uuu ���� - Sgokane 'Spokane Valley, WA 99206 509 688-0037-Fax C 0" Valley For Inspe,-Ctians, call 509-688-0054 Plumbing Permit Application PROJECTPERMIT ADDRESS: 5 ,--� USE: OWNER: PHONE(Daytime Contact): MAILING ADDRESS: (city/state) • (ZIT) _ (street) !/ CONTRACTOR: i1 _/_S Cohs_t_y C_Gh O� LICENSE 4: / S Co/J . .f /-2 5/0 - 1 `l" PHONE#: I / MAILING ADDRESS: q,2 k,._?,;.? i .1/ WI U4A(.-yam ,:‘-)0 karie tort . 99ae.-) 6 • (street) (city/state) (ZIP) . PLUMBING FIXTURES DETAILS #OF UNITS X COST EQUALS AMOUNT DESCRIPTION X $6 _ 1 TOILETS WATER CLOSET,BIDETS X $6 - 2 URINALS X $6 - 3 TUBS / X $6 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 5 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, X $6 LAUNDRY,UTILITY,JANITOR,PHOTO,X- RAY,FOOD,PREP/CULINARY/MEAT X $6 6 DISHWASHER X $6 - • 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X $6 - 9 WATER SOH I bNER X $6 - 10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL - 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X X $6 12 FOUNTAINS,DRINKING 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR X $6 - WASTE,VENT,PLUMBING. REVERSALS / REVERSAL X $6 14 SEWAGE EJECTOR GRINDER,SUMP PUMP 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, X STEAMER,PROOFER,CARBONATOR, SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND X $6 - R.P.B.P.D.FOR:VATS,TANKS,BOILERS X $25 " 17 SPRINKLER SYSTEM 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL X $6 - HOLDING TANK X $6 - 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FIXTURE • SUBTOTAL: ✓TROD OF PAYMENT . --:' '.tp;.:: PLUS PROCESSING FEE: $35.00 iiiilliat �Nask_ : VISA' :-a:r^' CASH El CHECK ❑ ❑ -._ _:_=..i TOTAL PERMIT FEE DUE: ------------ EXPIRES: A.NKCARD NUMBER: UTHORIZED SIGNATURE: , . 4 1=clx bca,-.;0 .530.613-04: FP.= S7' 41°1-;T Dia.:PARTIUFNf',1 OF PIP LiC IORI,CS ArttIci2ate,6 start PormIt P:: PW RCW CONSTRUCTION PERMIT f.2,‘ LOCatiCO3 of property (t. 114dres5/1--'-arcei#, If available) Applicant Nam Coratraaoec - Addyess 01: Contracl-.e.s , ON (Prot,fisio sLa o'r pl4n as nacezae4ry for cZa.diy) awer Connection ativewayfl •.. C,z'b Li Borallinsuralca -tifa aft E3 tha SPECVS,.. Pcirrif I 4„rc.„„; J1-2 da..44 T*0.44,.,4=lja L4.1 dlcia porm.c,-.1a4j O=4,c cud. tow-4,1_6 Fa nate inn • (inepection) (AppCO• in to permit t..3,3 of a.ca or$25-00,14spection efl each permit,,viu bo bllkdto tha pGriillie et a ra5.11 z?5,Q.D0 pc hour with a$2040(112 hour)minmum.Permlttea aloe=on p&mt cony an agreement to theile tzlIV; Work clzatiple.,,ecl sak;factotty —47 11,4:Aix-a zatLezLi-.3r