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2003, 09-18 Permit App BLD-03-02510 Plumbing FixturesSr.Irt cx 11707 East Sprague Avenue, Suite 106 _ 509-688-0036 - Phone �kane Spokane ValleyjAZ�-99206�9-688-0037 - Fax ,,,o, Valley _ Plumbing Permit Application f ,/�/�° �• PROJECT ADDRESS: fj% S �p�/IAPUSE: PERMIT DETAILS WATERCLOSET, BIDETS tt OF UNITS X X COST $6 OWNER: D- PHONE (Daytime Contact): MAILING ADDRESS: JU�9 <- $6 (street) (street) (city/state) (ZIP) �(/9 CO CT R: LICENSE #: AD F S �G k: 37D7 (street) (qty/state) (ZIP) PLUMBING FIXTURES DESCRIPTION 1 TOILETS DETAILS WATERCLOSET, BIDETS tt OF UNITS X X COST $6 EQUALS AMOUNT = 2 URINALS X $6 = 3 TUBS X $6 = 4 SHOWERS (PER TRAP) 5 SINKS BATH, STALL, ON-SITE BUILT LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT X X $6 $6 ' = 6 DISHWASHER X $6 = 7 CLOTHES WASHER 8 GARBAGE DISPOSAL X X $6 $6 = = 9 WATER SOFTENER X $6 = 10 ELECT. HOT WATER TANK 11 FLOOR DRAINS NOTE: IF GAS, SEE MECHANICAL AREA, CASE, COIL, TRENCH, CONDENSATE X X $6 $6 = 12 FOUNTAI _ G I3 ATER PIPINGIDRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X X $6 $6 ` SEWAGE EJECTOR WATER USING DEVICE r16 GRINDER, SUMP PUMP ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X X $6 $6 = CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6 = 17 SPRINKLER SYSTEM X INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X M$25-18 19 MEDICAL GAS per outlet 20 MISC. PLUMBING FIXTUREX NITROUS, OXYGEN X ETHOD OF PAYMENT CASH CHECK ❑❑ ❑ =-- �TE: EXPIRES: SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: NKCARD NUMBER: ITHORIZED SIGNATURE