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2004, 05-21 Permit App: BLD-04-04413 Plumbing Reversal
METHOD OF ❑ CASH DATE: Spokane ®Walley 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 E. Lonrse_PERMIT ADDRESS: il �..nUSE: DESCRIPTION PHONE (Daytime Contact): q 11 -7 Dad q (Y OMAIERTNG A DRES MAILING ADDRESS: l..l 1i 33aoe. P®--atnk, (�)� 19-C�Co (street) (city/state) (ZIP) EQUALS CO 9 AS.T'gR:.. ( -/rJ ,I VI urn,hI n2 LICENSE A: WATER CLOSET, BIDETS MAILING ADDRESS: 3c//a S.ctdot-t PHONE #: eR5_7/ - 2 (street) (city/state) (ZIP) PLUMBING FIXTURES 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 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6 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 S6 - 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 S6 - 12 FOUNTAINS, DRINKING X $6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING. REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X $6 - 14 SEWAGE EJEC WR 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 ❑ CHECK VISA ��?. rt. SUBTOTAL: PLUS PROCESSING FEE: $35.00 ■ =MN ■ TOTAL PERMIT FEE DUE: BANKCARD NUMBER AUTHORIZED SIGNATURE: