2004, 09-15 Permit App: BLD-04-07654 Plumbing ReversalProject Address: F ,60(u)
Owner: 727.af Miff
Mailing Address:
Contractor 6,P I
Mailing Address:
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
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): qe,')cp- (7‘7ge.
4 -
BANKCARD NUMBER.
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
*OF
UNITS -
X
COST
'
•
TOTAL.
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
.
*6.00
*6.00
.
.,
2
URINALS
-
X
3
TUBS
X
*6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$8.00
INKS
LAVS/BASINS, BAR, FLOOR,
CHEM, LAUNDRY, UTILITY,
JAKtTQR PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X
*6.00
=
.
DISHWASHER
*6.00
CLOTHES WASHER
X
WOO6
-
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
i
X
$6.00
$6.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
13
FOUNTAINS, DRINKING
X
$6.00
4
WATER PIPING/DRAI -I A ... TE,
VENT, PLUMBIN ,- EVER •
INSTALLATION, ALTERATION,
REPAIR REVERSALS
X
$6.00
SEWAGE EJECTO
GRINDER, SUMP PUMP
X
*6.00
*6.00
WATER USING DEVICE
ICE AN/OR COFFEE MAKER
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLER
X
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK ' '
VALVE, AND R.P.B.P.D. FOR:
VATS, TANKS, BOILERS
X
*6.00
INT1
ERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
*6.00
=
19
MEDICAL GAS (per outlet)
MISCELLANEOUS PLUMBING FIXTURE
NITROUS, OXYGEN
X
X
*6.00
$6.00
-
=
•
20
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MASTERCARD
DATE EXP(RES:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
4//- in)
BANKCARD NUMBER.
AUTHORIZED SIGNATURE: