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2003, 12-03 Permit App BLD-03-03192 Plumbing Fixtures
ETHOD 0 I CASH kTE: 11707 East Sprague Avenue, Suite 106 Spokane Valley, WA 99206 509-688-0036 Phone 509-688-0037 - Fax Plumbing Permit Application PROJECT _ ADDRESS: �� J �i`) so-E-"J1�� �,,JSE: PERMIT //�� %/Z� J<"j,-/ OWNER: C7� „��G/ Sc .�p PHONE (Daytime Contact): MAILING ADDRESS: 7S1 5 c j od cJ a-C� (street) (city/state) / (ZIP) CONTRACT2Fp//5- 4 LICENSE #: MAILING ADDRESS: / PHONE #: (street) (city/state) (LIP) PLUMBING FIXTUR DESCRIPTION _ DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6 - 2 URINALS X $b - 3 TUBS X $6 - 4 SHOWERS (PER TRAP) BATH, STALL, ON -SITE BUILT X 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT X $6 - 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X $6 - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6 - 12 FOUNTAINS, DRINKING X $6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS. X $6 - > j 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 R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6 - 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT SUBTOTAL: aminio ''f I . VISA'tt CHECK ❑ =Mg ■-.__'_ PLUS PROCESSING FEE: $35.00 1±VDTDCC. TOTAL PERMIT FEE DUE: / /‘--"(-9 LNKCARD NUMBER: ITHORIZED SIGNATURE: