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HomeMy WebLinkAbout2003, 09-04 Permit App: BLD-03-02391 Plumbing Fixtures[ETHOD OF ] CASH ATE: Spokane 4000 alley 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 63-0-311 PROJECT ADDRESS: 0 6j n2 PI PERMIT USE: # OF UNITS OWNER: A/i `e(-- &.-(�s PHONE (Daytime Contact): EQUALS MAILING ADDRESS: /30L— I -?3 -2 -s -t /a4.'1-�cG ffu-z WATER CLOSET, BIDETS (street) (city/state) (ZIP) $6 CONTRACTOR:LICENSE /?Z1 -/---r C 'EE:r."4. A4 #: URINALS MAILING ADDRESS: �/J /a 1 L� / �7 / / // /y /cc+ S-�%a/c,4Y/ PHONE #: 2--z_ ; c7 ( ,.�1 4 -GA /rd 2-(7 TUBS (street) (city/state) (ZIP) • X PLUMBING FIXTURES 4NKCARD NUMBER• JTHORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS I X $6 - 2 URINALS X $6 - 3 TUBS X $6 - 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT / X $6 5 SINKS LAVSBASINS, 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 $6 - 12 FOUNTAINS, DRINKING X $6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS I X $6 - 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 - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT ❑ CHECK MOM . MA- Hirst .. ._._.-.--- SUBTOTAL: PLUS PROCESSING FEE: $35.00 • Mai ■ TOTAL PERMIT FEE DUE: 51l .v6 4NKCARD NUMBER• JTHORIZED SIGNATURE: