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2003, 11-25 Permit App: BLD-03-03146 Plumbing Reversal
IETHOD OF ] CASH ATE: Spokane Walley Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 Phone Spokane Valley, WA 99206 509-688-0037 - Fax PROJECT ADDRESS: • 57-7 F « [ • - / u c+ DETAILS PERMIT USE: / OWNER: 2 L %J/lES576C EQUALS AMOUNT PHONE (Daytime Contact): MAILING [[A��DIDRESS: 5/1 WATER CLOSET, BIDETS // X (street) ' - (city/state) • (LLL') CONTRACTOR:LICENSE /n.4, -A /, - If: MAILING ADDRESS: 3o2( 4 47 , fe� s,��,� PHONE tf: �� “,-.44--- CC-, 11.(street) X (d4state) (ZIP) PLUMBING FIXTURES 4NKCARD NUMBER: UTHORIZED SIGNATURE: DESCRIPTION DETAILS II OF UNITS X COST EQUALS AMOUNT 1 TOILETS - WATER CLOSET, BIDETS X $6 - 2 URINALS - X $6 - 3 TUBS X 56 - 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X 56 - 5 SINKS ' LAYS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT X ' $6 - 6 DISHWASHER X 56 - 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X $6 - 10 - ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL - X $6 - 11 FLOOR DRAMS AREA, CASE, COIL, TRENCH, CONDENSATE X _ E6 • 12 FOUNTAINS, DRINKING . X . $6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL EVERSAL . INSTALLATION, ALTERATION, REPAIR, REVERSALS - / / X S6 - 19 SEWAGE EJECTOR GRINDER, SUMP PUMP X E6• • 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BB, STEAMER, ?ROOFER, CARBONATOR, X $6R • 16 CROSS CONNECTION DEVICE VACUUM BREAKER CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X _ 17 SPRINKLER SYSTEM X 525 - 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 Y/S4" • _ SUBTOTAL: PLUS PROCESSING FEE: - . $35.00 ■ MOM ■ TOTAL PERMIT FEE DUE: 1 I CO 4NKCARD NUMBER: UTHORIZED SIGNATURE: