2005, 06-09 Permit App 05001975 Plumbing FixturesPLUMBING PERMIT AI'v LICATIGN
Phone: (509) 688-0036; FAX: (509) 688-0037
For Inspections, Call (509) 688-0054
Project Address: /0s63 ET
Owner. .tom tlE7eLy. 4L ✓` /
Mailing Address:
Permit Use:
Community Development Department
Building Division
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
CcD
Phone (Daytime Contact):
Contractor. jekley.6 �r L-Von8inite
Mailing Address: L. lalo gClieeiele
City
State Zip Code
License #: JE P—leP * 16S ND
City
State
Phone*. q Ze., `5-6
Oqc/!o
Zip Code
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DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
/
X
$6.00
=
&• CO
2
URINALS
X
$6.00
=
3
TUBS
1
x
$6.00
=
e ,. Co
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
2
X
$6.00
=
• —
/ 2
6
DISHWASHER
X
$6.00
=
7
CLOTHES WASHER
X
$6.00
=
8
GARBAGE DISPOSAL
X
$6.00
=
9
WATER SOFTENER
X
$6.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
=
DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6.00
=
11
12
FLOOR
ROOF DRAINS/OVERFLOW
DRAINS
X
$6.00
=
FOUNTAINS, DRINKING
X
$6.00
=
13
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
/
X
$6.00
='-
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X
$6.00
=
DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$6.00
=
17
18
CROSS CONNECTION
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
179- CASH ❑ CHECK
ncTG.
❑ VISA ❑ MASTERCARD
EXPIRES:
SUBTOTAL
5c
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
4 S •
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: