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2003, 10-24 Permit App: BLD-03-02896 Plumbing Reversal
Stikine Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley,'WA 91206 509-688-0037 - Fax For Inspections, call' 509-688-0054 PROJECT`y' �n1.) ADDRESS: >?:) 3 / , - oil R/S PERMIT USE: OWNER: `704 � tO-cc, i,fn PHONE (Daytime Contact): 9, 3-/c/iirg MAILING ADDRESS: -gee-3 `ter _ A gl, J ehyl,, (t 99,)(56) (street)t) (city/state) (ZIP) WATER CLOSET, BIDETS co r Han D I (1 yJ�i ,j(� /i LICENSE 4: _ LING ADDRESS: r 3e//D S. C ce n S 13ct_ PHONE 4: qc: 1-91 3 991 X (street) (city/state) (ZIP) PLUMBIN 6 DISHWASHER 7 CLOTHES WASHER 8 GARBAGE DISPOSAL 9 WATER SOFTENER 10 ELECT. HOT WATER TANK 11 FLOOR DRAINS 12 FOUNTAINS, DRINKING 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL 14 SEWAGE EJECTOR 15 WATER USING DEVICE LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT NOTE: IF GAS, SEE MECHANICAL AREA, CASE, COIL, TRENCH, CONDENSATE IR�NETION, ALTERATION, REPAIR, X $6 $6 $6 $6 $6 $6 $6 $6 GRINDER, SUMP PUMP ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 16 CROSS CONNECTION DEVICE 17 SPRINKLER SYSTEM 18 INTERCEPTOR$ X I $6 VACUUM BREAKER CHECK VALVE, AND RP.B.P.D FOR VATS, TANKS, BOILERS 19 MEDICAL GAS per outlet 20 MISC. PLUMBING FIXTURE THOD OF PAYMENT 111111161110 .ASH 0 CHECK 0 E: KCARD NUMBER. GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK NITROUS, OXYGEN EXPIRES: -IORIZED SIGNATURE: X I $6 X I $25 X $6 X $6 X 56 SUBTOTAL PLUS PROCESSING FEE: TOTAL PERMIT FEE DUE: $35.00 !/� DESCRIPTION DETAILS 4 OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X _ 2 URINALS X $6 3 TUBS X$6• 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6 _ 5 SINKS LAVS/RASrNc FAA nnnn .,. 6 DISHWASHER 7 CLOTHES WASHER 8 GARBAGE DISPOSAL 9 WATER SOFTENER 10 ELECT. HOT WATER TANK 11 FLOOR DRAINS 12 FOUNTAINS, DRINKING 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL 14 SEWAGE EJECTOR 15 WATER USING DEVICE LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT NOTE: IF GAS, SEE MECHANICAL AREA, CASE, COIL, TRENCH, CONDENSATE IR�NETION, ALTERATION, REPAIR, X $6 $6 $6 $6 $6 $6 $6 $6 GRINDER, SUMP PUMP ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X $6 16 CROSS CONNECTION DEVICE 17 SPRINKLER SYSTEM 18 INTERCEPTOR$ X I $6 VACUUM BREAKER CHECK VALVE, AND RP.B.P.D FOR VATS, TANKS, BOILERS 19 MEDICAL GAS per outlet 20 MISC. PLUMBING FIXTURE THOD OF PAYMENT 111111161110 .ASH 0 CHECK 0 E: KCARD NUMBER. GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK NITROUS, OXYGEN EXPIRES: -IORIZED SIGNATURE: X I $6 X I $25 X $6 X $6 X 56 SUBTOTAL PLUS PROCESSING FEE: TOTAL PERMIT FEE DUE: $35.00 !/�