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2003, 04-22 Permit App: BD03-094 Plumbing Fixtures
*Wane�i4., .000Valley PLUMBING PERMIT APPLICATION D o3-094 PROJECT ADDRESS: -5727 0 ..'/1-9 . �` �$".9rt.)"Pd DESCRIPTION PERMIT USE: OWNER: /600Jrt%±:x. X PHONE (Daytime Contact): 9 7-/4 g/ MAILING ADbRESS: • AMOUNT 1 (street) (city/state) (zip) CONTRACTOR: $6 LICENSE #: (D -QQ L. C. em...)s MAILING ADDRESS: p©©G s WA-rar dr Rte. aA>°pt)ey c e5.9- 79©ay • PHONE #: 5'©9 - 9& 7.6 7 G a. $6 = (stree) (city/state) (zip) PLUMBING' FIXTURES • BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS • AMOUNT 1 TOILETS WATER CLOSET, BIDETS / X $6 - (D -QQ 2 URINALS X $6 = 3 TUBS X $6 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT / X $6 - • Co -OD 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY/MEAT / X $6 _ CO -W 6 DISHWASHER X $6 7 CLOTHES WASHER X $6 = 8 GARBAGE DISPOSAL , X $6 = 9 WATER SOFTENER ' X $6 = 10 ELEC 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 = Co , C) 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, SUMPS, TANKS, BOILERS X $6 = 17 SPRINKLER SYSTEM X $25 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK 1 X $6 - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC PLUMBING FIXTURE x $6 a _ - • -_ SUBTOTAL ,4 IN CASH • CHECK❑ • --: ' PLUS PROCESSING FEE $35.00 FAXED PERMITS • 1-1 A TL. WILL ONLY BE ACCEPTED WITH PAYMENT OFA MAJOR CREDIT CARD .,......•, TOTAL PERMIT FEE DUE 50 / �� / • BANKCARD NUMBER: AUTHORIZED SIGNATURE: City of SPOKANE VALLEY INSPECTION REQUEST BUILDING DEPARTMENT Date and time received Permit Number Project Name Site Address 5 2 -CD Requester's name Phone number BUILDING Foundation Concrete slab Underfloor Framing Insulation Wallboard Special Final PLUMBING kough in Special Final 6� MECHANICAL Rough in gas piping Furnace Appliances Special Final : SIGNS Foundation Special Final GEARING AND / OR GRADING Silt fence Erosion Control Special Clearing Final OTHER Fw ndation Framing Special OTHER Inspection Requested for : Mon Tues Wed Thurs Fri AM PM Comments Inspector Date & time inspected "22 ' G'