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2006, 05-04 Permit App 06001705 Water Piping
Permit Center p�� SpokaenLeAl 11707 E Sprague Ave, Suite 106 PERMIT' NUMBER:17C YSpokane Valley, WA 99206 _ (509)688-0036 FAX: (509)688-0037 PERMIT FEE: - CommunityDevelopmeni wwa mnkanevallev.ore Plumbing Permit Application ❑ Commercial Residential �y SrrE ADDRESS: J 2 9/ E I" lZ`z%21Z&7' 5 ®01' !hy 2y19—LL C� >/ / ; � d Building Own" SINKS LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT Name:B v Phone: — Fax: (�5 Address: — _ e 17�C City. b $tate: Zip: Contractor X $6.D0 Name: Phone: Fax: Address: City State: Zip: License No: City Business Lic: contact GARBAGE DISPOSAL X $6.D0 - TOTALAMOUNT 5 SINKS LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT X $6.DD = 6 DISHWASHER X $6.D0 - 7 CLOTHES WASHER X $6.D0 - 8 GARBAGE DISPOSAL X $6.D0 - 9 WATER SOFTENER X $6.00 - 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6.00 11 AREA. CASE, COIL, TRENCH, FLOOR DRAINS CONDENSATE X $6.D0 - 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 - 13 FOUNTAINS, DRINKING r% X $6.00 - 14 WATER PIPING/DRAIN-IN WASTE, NSTALLATION, ALTERATION, REPAIR VENT, PLUMBING, REVERSAL REVERSALS X $6.00 - 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6.DD - 16 ICE AN/OR COFFEE MAKER HOSE BIB, WATER USING DEVICE STEAMER PROOFER, CARBONATOR, SWAMP COOLER X $6.0D = 17 VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, CROSS CONNECTION DEVICE BOILERS X $6.00 - TRAP, SAND TRAP, RS CHEMICAL HOLDING TANK X $5.00 - S r outlet NITROUS, OXYGEN X $6.00 - ERWATGREASE OUS PLUMBING FIXTURE X $6.00 - EWAGE DISPOSAL/SYS X $20.00 WASTE INTERCEPTOR X $15.00 - METHOD OF PAYMENT: []CASH ❑CHECK El VISA ❑ MC EX Cards VIN: SUBTOTAL PROCESSING FEEPIRES: $35.00 TOTAL PERMIT FFF DIIF- AUTHORIZED SIGNATURE: REVISED 8/06/05 s��� Community Development Mechanical Permit SITE Permit Ceuta 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 Commercial PERMIT NUMBER: PERMIT FEE: Residential Building Owner Name: Phone: Fax: Address: City: State: Zip: Contractor Name: Phone: Fax: Address: City. State: Zip: License No: City Business Uc: Contact Name: Phone: AUTHORIZED SIGNATURE: KEVISED L7u 5 -