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2004, 08-30 Permit App: BLD-04-07516 Plumbing Reversal4,1/alley Project Address: ' 02 /1 bt c, r Owner: /C /:---4fErr (,>,-, Mailing Address: PLUMBING PERMIT APPLICATION City of Spokane Valley Community Development Department 8uildingDivtsion 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509) 688-0036; Fax: (509) 688-0037 FOR INSPECTIONS, CALL (509) 688-0054 Permit Use: Phone (Daytime Contact): Contractor: AA -L, -)F f✓c�a , L_� nirv1ily )?a Mailing Address. City State Zip Code License #: Phone #: ZS /-44os-P City State BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6.00 = 2 URINALS X 36.00 = 3 TUBS X $8.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ONSITE BUILT X 36.00 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY/MEAT X $6.00 = 6 DISHWASHER X $6.00 = 7 CLOTHES WASHER X $6.00 = 8 GARBAGE DISPOSAL X 56.00 = 9 WATER SOFTENER 36.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL _X X $6.00 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X 56.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X 56.00 = 13 FOUNTAINS, DRINKING X 56.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X X $6.00 15 SEWAGE EJECTOR GRINDER, SUMP PUMP - X 56.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X 36.00 = 17' CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6.00 = 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 36.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK 0 VISA 0 MASTERCARD DATE: EXPIRES: SUBTOTAL PROCESSING FEE 535.00 TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: Zip Code