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1995, 02-23 Permit App: 950000935 Plumbing Reversal
05/07/1992 20:04 509-9284306 r RON SLOAN PAGE 01 PLUMBING PERMIT APPLICATION PROJECT ADDRESS: OWNER_ S'VSN 2.�. PHONE: �i — MAILING ADDRESS: \ Q \ A N c -t- ) v -.Q._ CONTRACTOR: (street) MAILING ADDRESS.: N '/ i ' c-6 (city/state) (zip) LICENSE: ??1- 10 C., CJ PHONE: (street) (city/state) et C4R t (zip) URINALS WATER CLOSETS BIDETS BATH. JACUZZI. SPA GARDEN EASE, STALL, ON—SITE BUILD SINKS DISHWASHER CLOTHES WASHER GARBAGE DISPOSAIJGRINDER B10 WATER SOFTENER B11 ELECTRIC HOT WATER TANKS B'.2 BE; B14 B15 B1 FLOOR DRAINS AREA, CASE. COIL TRENCH WNDE+.NSATE FOUNTAINS, DRINKING WATER PIPING/DRAIN-WASTE-VENT/ PLUMBING REVERSALS SEWAGE EJECTORS a1, WATER USING DEVICES 31: CROSS -CONNECTION DEVICES 31 INTERCEPTORS t21 MEDICAL GAS . r ovdleiboule station MISCELLANEOUS FIXTURES VACUUM BREAKER CHECK VALVE, AND R.P.B.PD. FOR: VATS SUMPS. TANKS, BORERS, & SPRINKLER SYSTEMS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK NITROUS, OXYGEN NOTE: MINIM CI,MPERMTT FEE IS $35.00 SIGNATURE: Subtotal PLUS: PROCESSING FEE TOTAL PERMIT FEE DUE ?okane Couaty Division sof Buildings )26 W. Broadway Avenue • Spokane, WA 99260 I. No. (509) 456-3673 * Pax No. 009) 436-4703 • TDD No. (509) 324-3166 JTlRV'W1A®IY F41D