2007, 03-19 Permit App 07000835 Gas Piping & SinkPERMIT NUMBER:
PERMIT FEE:
Commercial ❑ Residential
Building Owner
Permit Center
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11707 E Sprague Ave, Suite 106
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Spokane Valley, WA 99206
VQL KJ
(509)688-0036 FAX: (509)688-0037
ommunity Development
WWw.spokanevallev.or¢
Plumbing Permit Application [
Contactor
SITE ADDRESS:
$6.00
-
PERMIT NUMBER:
PERMIT FEE:
Commercial ❑ Residential
Building Owner
DESCRIPTION OF WORK
STEAMER
# OF UNITS
Name: � d g'
t? M A
Phone:
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T Y3^ So�7 Fax:
Address: 0 �- 0 S+: c
City:
5 o State: wp- Zip: P f2�
Contactor
X
$6.00
-
Name: iAnLY:YtSa
Is S /
Phone:
8'-031(f0 Fax: 92? 783fo
Address: 13 % p3
Lr T/L4.e.7r 9ve-
City'
u Po -t_ State: Cv A- Zip: 9 92� &
License No: AC -
S 7 7
City Business Lic:
Contact
X
$8.00
Name: In.,
DU` o�
Phone:
y
REPAIR
16
DESCRIPTION OF WORK
STEAMER
# OF UNITS
X
I COST
I-
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
-
2
URINALS
COOLER
X
$6.00
-
3
TUBS
VACUUM BREAKER, CHECK VALVE,
X
$8.00
-
4
SHOWERS PER TRAP
BATH, STALL, ON-SITE BUILT
X
$6.00
-
5
SINKS
LAVS/BASINS, BAR, FLOOR KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY FOOD PREP/CULINARY MEAT
/
I(Q
X
$6.00
-
8
1 DISHWASHER
GREASE TRAP, SAND TRAP,
X
$6.00
-
7
CLOTHES WASHER
CHEMICAL HOLDING TANK
X
$6.00
-
8
GARBAGE DISPOSAL
NITROUS OXYGEN
X
58.00
=
REPAIR
16
WATER USING DEVICE
STEAMER
X
PROOFER, CARSONATOR, SWAMP
COOLER
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
17
CROSS CONNECTION DEVICE
BOILERS
X
$6.00
-
GREASE TRAP, SAND TRAP,
18
INTERCEPTORS
CHEMICAL HOLDING TANK
X
$6.00
-
19
MEDICAL GAS (per outlet)
NITROUS OXYGEN
X
$6.00
-
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
-
21
PRIVATE SEWAGE DISPOSALISYS
X
$20.00
-
22
INDUSTRIAL WASTE INTERCEPTOR
X 1
$15.00
-
SUBTOTAL
METHOD OF PAYMENT:
(Q
PROCESSING FEE
[]CASH ❑ CHECK I] VISA ❑ MC
EXPIRES:
$35.00
Card#
VIN:
TOTAL PERMIT FEE DUE:
AUTHORIZED SIGNATURE:
REVISED W605
Permit Center
11707 E Sprague Ave, Suite 106
Spokane valley, WA 99206 PERMIT NUMBER:
(509)88-0036 FAX: (509)688-0037
Community Development wvnv,suokanevallev or¢ PERMIT FEE:
Mechanical Permit Application ❑ Commercial ❑Residential
SITE ADDRESS:
Building Owner
Name:
Phone:
Fax:
Address:
City:
State: Zip:
Contractor
Name:
Phone:
Fax:
Address:
City:
State: Zip.
License No:
City Business Lic:
Contact
Name:
Phone:
AUTHORIZED SIGNATURE:
aevrsM v 5
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Community Development
Mechanical Permit
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)68"37
❑ Commercial
SITE ADDRESS ___LO AV 67_ 44M27,,'7 --
P*01 MBER:1, �S
PERMIT FEE:
c Residential
Building ownerIft '..
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Name:
e
Phone: —7
Fax
Address: Q
�E'S
City S v CAr�
state (,v.4 �I G
Contractor
Name: AVOCIeSbWs
BN AL-
Phone: f0
Fax
Address: / fo-? /s Ti7E.NY Ave-Ciry
_
O ArL
State (.✓/¢ Z:
License No: ^/ (= rQ s'"
% 67
Ciry Business License No:
Contact
Name:
-'V
Phone:
DESCRIPTION OF W nRK
T _ _ _ _..
AUTHORIZED SIGNATURE:
REVISED L2b05