HomeMy WebLinkAbout2004, 09-23 Permit App: BLD-04-07737 Plumbing ReversalWalley
Project Address: 9 r2 /6 E,
917
Mailing Address: .__1or `C!
Owner:
Contractor, C
Mailing Address. 'o
/17Ai
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
'e Permit Use:
Phone (Daytime Contact): ?:Ry 392✓
City
License #: 1'
City
State Zip Code
Phone #:, jo7- 5'% -3667
0,1/
24
State Zip ode
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION OF WORK
fx OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET BIDETS
X
$8.00
=
2
URINALS
X
$8.00
=
3
TUBS
X
$8.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$8.00
=
5
SINKS
LAVSIBASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X
$6.00
=
8
DISHWASHER
X
$8.00
=
7
CLOTHES WASHER
X
58.00
=
8
GARBAGE DISPOSAL
X
$8.00
=
9
WATER SOFTENER
X
$8.00
=
10
ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
X
$6.00
r-
11
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
=
12
ROOF DRAINS/OVERFLOW DRAINS
X
$8.00
=
13
FOUNTAINS, DRINKING
X
56,00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
INSTALLATION, ALTERATION,'
REPAIR, REVERSALS
X
$8.00
=
' D 0
15
SEWAGE EJECTOR -
GRINDER, SUMP PUMP
X
$8.00
=
18
WATER USING DEVICE
ICE AN/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLER
X
$6.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK ,
VALVE, AND RP.B.P.D. FOR
VATS, TANKS, BOILERS -
X
$6.00
=
IS
INTERCEPTORS
GREASE TRAP, SAND TRAP.
CHEMICAL HOLDING TANK
X
56.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
' $6.00
=
METHOD OF PAYMENT:
0 CASH El CHECK ❑ VISA El MASTERCARD
DATE: EXPIRES:
SUBTOTAL
�O. 00
PROCESSING FEE
$/35.00
TOTAL PERMIT FEE DUE:
., C(I r CO
BANKCARD NUMBER:
AUTHORIZED SIGNATURE: