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2008, 06-27 Permit App 08002456 Plumbing Fixtures
Permit Center S�O" 1S�1ne 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevallev.org Plumbing Permit Application PERMIT NUMBER: -. ! 5-ce PERMIT FEE: Commercial esidential 11`r SITE ADDRESS: 1/0 I/2 ✓�C�t 57L Building Owner Name: Phone:f3/9 Fax: Address: /0 �/ / VVV i /'4. S /_ City: W%� (/( ���--�441 State: 1 ` W Zip: cc 7 Q Contractor � Name: ` N %U� J l Phone: �`G / / C j Fax:Address: flj CI State: • Zip:License No: //f / J14)/e/ p7_(�City: �\ 9 L, 4 City Busmes€ Lic: Contact Name: % /t 1 %! . / Pi �r� /" fa /.! 1/` r/\G . Phone: `l 9 7-2 30 <-7 DESCRIPTION OF WORK 1 TOILETS 2 URINALS 3 TUBS 4 SHOWERS PER TRAP 7 SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAL 9 WATER SOFTENER 10 ELECTRIC WATER HEATER 11 FLOOR DRAINS 12 ROOF DRAINS/OVERFLOW DRAINS 13 FOUNTAINS, DRINKING 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL # OF UNITS COST TOTAL AMOUNT WATER CLOSET, BIDETS BATH, STALL ON -SITE BUILT LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT NOTE: IF GAS, SEE MECHANICAL AREA, CASE, COIL, TRENCH, CONDENSATE NSTALLATION, ALTERATION, REPAIR, REVERSALS z, G— Z 2 2- $6.00 $6.00 $6.00 $6.00 $6.00 $6.00 $6.00 $6.00 $6.00 2__ Age- i 36. (a $6.00 $6.00 $6.00 $6.00 $6.00 15 16 17 SEWAGE EJECTOR WATER USING DEVICE CROSS CONNECTION DEVICE GRINDER, SUMP PUMP ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS $6.00 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK $6.00 19 20 MEDICAL GAS (per outlet) MISCELLANEOUS PLUMBING FIXTURE 21 PRIVATE SEWAGE DISPOSAL/SYS 22 INDUSTRIAL WASTE INTERCEPTOR METHOD OF PAYMENT: ❑CASH ❑ CHECK SA ❑ MC Card# AUTHORIZED SIGNATURE: NITROUS, OXYGEN EXPIRES: VIN: $6.00 $6.00 /Z $20.00 $15.00 SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: 7G a Effective October 28, 2007 P:1Community Development\Forrns\Building forms'Plumbing Permit Application.doc ,3