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HomeMy WebLinkAbout2004, 02-11 Permit Application: BLD-04-03532 Plumbing ReversalS C17Y ck' ne Valley Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509- 688 -0036 - Phone Spokane Valley, WA 99206 509 - 688 -0037 - Fax For Inspections, call 509 - 688 -0054 PROJECT ADDRESS: / • = / / / PERMIT USE: OWNER: 4 . /�l` // PHONE (Daytime Contact): q (/ _ 7 2 c/ J MAILING ADDRESS: (street) (city /state) (ZIP) CO�`PRA pR: v 1 / l i zni (! j A �t \ LICENSE #: MAILING ADDRESS: 3C/ /D - �1 > PHONE #: (_ q� 1 / 3 (street) (city/state) (ZIP) DESCRIPTION 1 2 TOILETS URINALS 3 4 TUBS SHOWERS (PER TRAP) 5 SINKS 6 DISHWASHER 7 8 CLOTHES WASHER GARBAGE DISPOSAL 9 10 11 12 13 14 15 16 17 18 19 WATER SOFTENER ELECT. HOT WATER TANK FLOOR DRAINS PLUMBING FIXTURES DETAILS # OF tIIVITS X COST EQUALS AMOUNT WATER CLOSET, BIDETS BATH, STALL, ON -SITE BUILT X X X X $6 $6 $6 $6 LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP /CULINARY/MEAT X $6 $6 NOTE: IF GAS, SEE MECHANICAL FOUNTAINS, DRINKING X X X $6 $6 $6 AREA, CASE, COIL, TRENCH, CONDENSATE WATER PIPING/DRAIN -IN WASTE, VENT, PLUMBING . REVERSAL SEWAGE EJECTOR $6 X $6 X INSTALLATION, ALTERATION, REPAIR, REVERSALS WATER USING DEVICE X $6 $6 GRINDER, SUMP PUMP CROSS CONNECTION DEVICE SPRINKLER SYSTEM INTERCEPTORS ICE AND /OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 VACUUM BREAKER, CHECK VALVE, AND RP.B.P.D. FOR VATS, TANKS, BOILERS MEDICAL GAS per outlet X $6 GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK 20 MISC. PLUMBING FIXTURE IOD OF PAYMENT yam.. SH ❑ CHECK ❑ Ian= ❑ .ARD NUMBER: 1RIZED SIGNATURE: NITROUS, OXYGEN X 525 X $6 EXPIRES: X X $6 $6 SUBTOTAL: PLUS PROCESSING FEE: TOTAL PERMIT FEE DUE: $35.00