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2004, 04-05 Permit App BLD-04-03965 Plumbing Fixtures
METHOD OF ❑ CASH DATE: Spokan' e ,;,oP Valley 11707 East SpragueAvenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT ADDRESS: o ec�USE: DETAILS PERMIT OWNER:QAdl� COST EQUALS PHONE (Daytime Contact): MAILING ADDRESS: TOILETS ej (street) (city/state) (ZIP) CO RLICENSE 2 t: MAILING ADDRESS: -3c-//--;) PHONE t: (street) (city/state) (ZIP) PLUMBING FIXTURES BANKCARD NUMBER AUTHORIZED SIGNATURE: 01011141*0 DESCRIPTION DETAILS $OF UNITS X COST EQUALS AMOLINT 1 TOILETS WATERCLOSET,BIDETS X $6 - 2 URINALS X $6 - 3 TUBS x $6 - 4 SHOWERS (PER TRAP) BATH,STALL, ON-SITE BUILT X $6 5 SINKS LAVS/BASINS, BAR, FLOOR KITCHEN, LAUNDRY, UTILITY, JANITOR PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT / ` X $6 - 6 DISHWASHER J( E6 7 CLOTHES WASHER x S6 B GARBAGE DISPOSAL x $6 9 WATERSOFIENER X $6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA, CASE, Coil. TRENCI-L CONDENSATE X $6 - 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 RP.B.P.D. FOR: VATS, TANKS, BOILERS X - 17 SPRINKLER SYSTEM X S25 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X _ - 19 MEDICAL GAS Pg outlet NITROUS, OXYGEN X $6 20 MISC. PLUMBING FIXTURE X $6 PAYMENT ] CHECK ❑ EMMM❑ t___._.- ..; SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER AUTHORIZED SIGNATURE: 01011141*0