Loading...
2008, 08-21 Permit App 08003284 Wtr HtrW1S� alley Community Development Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 permitcenter@a,spokanevalley.org Plumbing Permit Application n Commercial ,Residential PERMIT NUMBER: ^' CI PERMIT FEE: SITE ADDRESS: l ct Bee_)a etIgicty Building Owner Name: Phone: Fax: Address: I I d l /`L`1G�'U �Lt At, CIS �QO /� ' °� ll�,,State: C / � Zip: GNAe; Contractor / Name: ' SQoKci n "F(4 u S P (�:'vt L.,� Phone: Fax: etsl -&So`� Address: S Z v & (1-0 r n City: Sop eiG n e State: , ,��� Zip: (3/�Z �Z License No: s r, p q 2 S 7_ City Business Lic: / e S Contact Name: Phone: DESCRIPTION OF WORK # OF UNITS X COST TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS $6.00 2 URINALS $6.00 3 TUBS $6.00 4 5 6 SHOWERS PER TRAP SINKS DISHWASHER 7 CLOTHES WASHER BATH, STALL ON -SITE BUILT LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT $6.00 $6.00 $6.00 $6.00 8 GARBAGE DISPOSAL $6.00 9 WATER SOFTENER $6.00 10 ELECTRIC WATER HEATER NOTE: IF GAS, SEE MECHANICAL $6.00 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE $6.00 12 ROOF DRAINS/OVERFLOW DRAINS $6.00 13 FOUNTAINS, DRINKING $6.00 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS $6.00 15 16 17 SEWAGE EJECTOR WATER USING DEVICE CROSS CONNECTION DEVICE GRINDER, SUMP PUMP ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK 0 $6.00 $6.00 $6.00 0 $6.00 19 20 MEDICAL GAS (per outlet) MISCELLANEOUS PLUMBING FIXTURE NITROUS. OXYGEN $6.00 $6.00 21 PRIVATE SEWAGE DISPOSAUSYS $20.00 22 INDUSTRIAL WASTE INTERCEPTOR METHOD OF PAYMENT: CASH ❑ CHECK El VISA ❑ MC EXPIRES: Card# VIN: AUTHORIZED SIGNATURE: REVISED 8/26/05 $15.00 SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: