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2003, 06-03 Permit App: BD03-578 Plumbing Reversal, Toilet*ohne°' s, #Valley 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 Plumbing Permit Application ib 78 PLUMBING FIXTURES DESCRIPTION DETAILS WATER CLOSET, BIDETS OF UNITS X COST EQUALS AMOUNT SHOWERS (PER TRAP) DISHWASHER BATH, SPALL, ON-SITE BUILT LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTENER ELECT. HOT WATER TANK FLOOR DRAINS FOUNTAINS, DRINKING NOTE: IF GAS, SEE MECHANICAL AREA, CASE, COIL, TRENCH, CONDENSATE WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING . REVERSAL SEWAGE EJECTOR WATER USING DEVICE CROSS CONNECTION DEVICE MEDICAL GAS per outlet MISC PLUMBING FIXTURE IOD OF PAYMENT SH ❑ CHECK vim' ❑ Diw GRINDER, SUMP PUMP ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, TROOPER, CARBONATOR, SWAMP COOLER VACUUM BREAKER CHECK VALVE, AND RP.B.P.D. FOR VATS, TANKS, BOILERS GREASE TRAP, SAND TRAP CHEMICAL HOLDING TANK NITROUS, OXYGEN EXPIRES: ARD NUMBER: FUZED SIGNATURE: PROJECT V F p,->~. ADDRESS: " S IT PERMUE: �E� USE: v \( , b J( gria PHONE(Daytime Contact): OWNER:Aiiiifigtcztasimsfi r MPrr�)))''''''��/ MAILING ADDRESS: / 3rv1 4 ti -(v 44 3yJ6 t --a9 5'i‘=s-Z,w -L, (ZIP) (street) CONTRACTOR: (city/state) / mf-�� �✓I ry �- IL[CBNSE• d: � (Az- of LING ADDR PHONE d: 4'�p (street) (city/state) rvrrn PLUMBING FIXTURES DESCRIPTION DETAILS WATER CLOSET, BIDETS OF UNITS X COST EQUALS AMOUNT SHOWERS (PER TRAP) DISHWASHER BATH, SPALL, ON-SITE BUILT LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTENER ELECT. HOT WATER TANK FLOOR DRAINS FOUNTAINS, DRINKING NOTE: IF GAS, SEE MECHANICAL AREA, CASE, COIL, TRENCH, CONDENSATE WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING . REVERSAL SEWAGE EJECTOR WATER USING DEVICE CROSS CONNECTION DEVICE MEDICAL GAS per outlet MISC PLUMBING FIXTURE IOD OF PAYMENT SH ❑ CHECK vim' ❑ Diw GRINDER, SUMP PUMP ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, TROOPER, CARBONATOR, SWAMP COOLER VACUUM BREAKER CHECK VALVE, AND RP.B.P.D. FOR VATS, TANKS, BOILERS GREASE TRAP, SAND TRAP CHEMICAL HOLDING TANK NITROUS, OXYGEN EXPIRES: ARD NUMBER: FUZED SIGNATURE: