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2003, 11-04 Permit App: BLD-03-02970 Plumbingor . 000"*� .. He „,V1ey PI IIMRIH( -- P;=D IIT ADE31 1rnT1f-%u 63--x, �c PLUMBING FIYTUV.C-c BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6 = 2 URINALS X $6 — 3 TUBS X $6 = 4 SHOWERS (PER TRAP) BATH, STALL, ON -SITE BUILT X $6 — 5 SINKS LAVS /BASINS, BAR, FLOOR, X $6 KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X -RAY, FOOD, PREP /CULINARY /MEAT 6 DISHWASHER X $6 = 7 CLOTHES WASHER X * $6 = 8 GARBAGE DISPOSAL X $6 = 9 WATER SOFTENER X $6 = 10 ELEC HOT WATER TANK NOTE: IF GAS SEE MECHANICAL X $6 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, $6 CONDENSATE X = 12 FOUNTAINS, DRINKING X $6 = 13 WATER PIPING /DRAIN -IN INSTALLATION, ALTERATION, X $6 WASTE, VENT, REPAIR, REVERSALS PLUMBING REVERSAL 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 = 15 WATER USING DEVICE ICE AND /OR COFFEE MAKER, X $6 HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER 16 CROSS CONNECTION VACUUM BREAKER, CHECK X $6 DEVICE VALVE, AND R.P.B.P.D. FOR: VATS, SUMPS, TANKS, BOILERS 17 SPRINKLER SYSTEM X $25 18 INTERCEPTORS GREASE TRAP, SAND TRAP, $5 CHEMICAL HOLDING TANK X = L201MISC MEDICAL GAS per outlet NITROUS, OXYGEN X $6 = PLUMBING FIXTURE X $6 = SUBTOTAL ❑ CASH p CHECK p . ❑ __..______ PLUS PROCESSING $35.00 FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OF A MAJOR CREDIT CARD FEE TOTAL PERMIT FEE DATE: FxnrR Fc. DUE BANKCARD NUMBER: AUTHORIZED SIGNATURE: