Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2005, 03-22 Permit App: 05000869 Plumbing Reversal, Fixtures
PLUMBING PERMIT APPLICATION ne Phone: (509) 688-0036; FAX: (509) 688-0037 .otiValleY For Inspections, Call (509) 688-0054 - Project Address: / 3_ e1 t 670,47,-(e, 4, ,P Owner GZ-j;4Se*fL—z - Mailing Address: _ tyj-p Contractor: 05-76 Community Development Department Building Division 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Permit Use: Phone (Daytime Contact): Mailing Address: „,"0/41.1,,e1 City License #: State Zip Code Phone #: • City State Zip Code BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION OF WORK 0 OF UNITS X .COST' = 'TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS' 7 X 56.00 = Cc . ,rarj 2 URINALS - - -= X 56.00 - 3 TUBS "-' X t6.00 = 4 SHOWERS (PER TRAP) BATH. STALL, ONSITE BUILT ' . / X • 56.00 = 6, . 00 5 SINKS LAVS/BASINS, BAR. FLOOR,' KITCHEN. 'LAUNDRY, UTILITY, JANITOR, PHOTO, X -PAY, FOOD,.PREP/CULINARY MEAT / X 56.00 = / ,,or9 6 6 DISHWASHER X 56.00 = 7 CLOTHES WASHER X $6.00 8 GARBAGE DISPOSAL - . . - X 56.00 9 WATER SOFTENER X . .56.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL_ X S6.00 •_ 11 FLOOR DRAINS - AREA, CASE. COIL, TRENCH CONDENSATE X r- $6.00 = 12 `ROOFDRAINS/OVERFLOW DRAINS X 56.00 13 FOUNTAINS, DRINKING X 56.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR. .REVERSALS / X 56.00 _. ®n 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 56.0.0 = 17 CROSS CONNECTION DEVICE ' VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS _ X 56.00 = .18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 56.00 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X 56.00 - 20 MISCELLANEOUS PLUMBING FIXTURE - X 56.00 = 21 PRIVATE SEWAGE DISPOSAL/SYS- . X 520.00 = - 22. INDUSTRIAL WASTE . INTERCEPTOR X - 315.00 = METHOD -OF PAYMENT: 0 CASH 0 CHECK 0 VISA 0 MASTERCARD DATE: EXPIRES: SUBTOTAL `29/,/ co PROCESSING FEE . 535.00 TOTAL PERMITFEE DUE: Pc -2,60 BANKCARD NUMBER: AUTHORIZED SIGNATURE: