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2003, 04-23 Permit App: BLD03-00115 Plumbing Reversal��pol�ane Valley 11707 East Sprague Avenue, Suite 106 Spokane Valley, WA 99206 1 spe -;0-rm 509-688-0036- Phone 509-688-0037 - Fax lumbing Permit Application 4.5780.0/Zo PROJECT ADDRESS: /L/'Z a -41/6,, a , PERMIT y().3 USE:'2}-J--) OWNER: ,6nA strsm 1„,_5_5(...4--) PHONE (Daytime Contact): 17 .2...,2 -�//Q /a /- MAILING ADDRESS: s,,' , (street) (city/state) (ZIP) CONTRACTOR4 �iv� •o //NE.•://74,274_,..4 � ,44.,,,,,,e6/7446 © / LICENSE $:4 t d/45d7 MAILING ADDRESS: QD-.OaX/991/-6 -564,/e--, PHONE 4: -V5-6^2 �� O Zig .���/7-P3--r< (street) (city/state) / (ZIP) PLUMBING FIXTURES DESCRIPTION DETAILS 4 OF UNITS X COST EQUALS AMOUNT I TOILETS WATER CLOSET, BIDETS X $6 2 URINALS X 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 8 GARBAGE DISPOSAL X 86 9 WATER SOFTENER X $6 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X 86 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6 12 FOUNTAINS, DRINKING X 3 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS 1 X 86 14 ps SEWAGE EJECTOR GRINDER, SUMP PUMP X WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 6 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R P B P.D. FOR: VATS, TANKS, BOILERS X 86 7 SPRINKLER SYSTEM X $25 9 9 0 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X MEDICAL GAS per outlet NITROUS, OXYGEN X $6 MISC. PLUMBING FIXTURE X $6 v4ETHOD OF YMENT Y/SA CI- ] CASH CHECK 0 SWIM )ATE. 4ANKCARD NUMBER: IUTHORIZED SIGNATURE EXPIRES. SUBTOTAL: (ODD PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: Lfroo