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2003, BD03-256 Plumbing Reversal
METHOD 0 0 CASH DATE: N. 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 63--a5'% PROJECT ADDRESS: 90'1. . , 1�2,? L-,Oi1-7,,-, PERMIT USE: F OF UNITS OWNER.ip v , �„ �r // /Ail PHONE (Daytime Contact): MAILING ADDRESS: I( '^ ( ( TOILETS (streeeeett))Q((city/state) i (ZIP) $6 O�tno LICENSE#:,d��FFSS: /,"/Z� *NI%%)i'KL I^ `3 U2� Y` Q / I,'ly K� 7pJ(e-(.N,/7- PHONE I: ac i - Aocg h.lsl q/Z_,7 (street) (city/state) (Li') PLUMBING FIXTURES BANKCARD NUMBER AUTHORIZED SIGNATURE: DESCRIPTION DETAILS F OF UNITS X COST EQUALS AMOUNT 1 - TOILETS WATER CLOSET, BIDETS i X $6 - l%! , 2 URINALS X $6 - 3 TUBS X $6 - 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 $6 - 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 S6 - G , 14 SEWAGE EJECTOR 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 - 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK x 56 - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X S6 - 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT CHECK _._._. Pfestai. SUBTOTAL: ,a ^O PLUS PROCESSING FEE: $35.00 VISI ■ MEWS • EXPIRES: TOTAL PERMIT FEE DUE. /0 n---;) l /A 1 ^ BANKCARD NUMBER AUTHORIZED SIGNATURE: