The URL can be used to link to this page

2003, 10-20 Permit App: BLD-03-02820 Plumbing ReversalSi okane Walley Plumbing Permit Application 11707 East Sprague Avehue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call' 509-688-0054 03 -,9 2D PROJECT ( ADDRESS: I /) ) 1 I ( ,/ �I 7/ 1[ a C !i X21" PERMIT /) USE: f i 1 S/I / / `Coontact): ccc"'"`�fii"' .__�p OWNER: S -t ore �/ l (f.(`/[.rt/e_l �1Tt,,l PHONE (Da me X MAILING ADDRESS:✓JJ /% /y 4 Oa 9 %tG /�� / (street) (city/state) (ZIP) X irt_R:Vh^o Dirt AAYr i,f.( LICENSE 4: 2 MAILINGADDRESS: RESS:O 3c/cp. sant �pn I S 13c_ PHONE #: q I 5q/ 3 X q9 (5, - (street) (city/state) . (ZIP) TUBS X $6 PLUMBING FI 10 ELECT. HOT WATER TANK 11 FLOOR DRAINS 12 FOUNTAINS, DRINKING NOTE: IF GAS, SEE MECHANICAL AREA, CASE, COIL TRENCH, CONDENSATE $6 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL SEWAGE EJECTOR WATER USING DEVICE , ALTERATION, REPAIR, CROSS CONNECTION DEVICE SPRINKLER SYSTEM INTERCEPTORS GRINDER, SUMP PUMP ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER VACUUM BREAKER CHECK VALVE, AND RP.B.P.D. FOR: VATS, TANKS, BOILERS MEDICAL GAS per outlet MISC. PLUMBING FIXTURE MOD OF PAYMENT SIM :ASH 0 CHECK ❑ MUM MSn E: KCARD NUMBER GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK NITROUS, OXYGEN EXPIRES: -IORIZED SIGNATURE: SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: DESCRIPTION DETAILS 4 OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6 ` 2 URINALS X $6 - 3 TUBS X $6 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT $6 X" 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- - RAY, FOOD, PREP/CULINARY/MEAT X 6 DISHWASHER X .$6• 7 CLOTHES WASHER X $6• 8 GARBAGE DISPOSAL $6 X" 9 WATER SOFTENER 10 ELECT. HOT WATER TANK 11 FLOOR DRAINS 12 FOUNTAINS, DRINKING NOTE: IF GAS, SEE MECHANICAL AREA, CASE, COIL TRENCH, CONDENSATE $6 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL SEWAGE EJECTOR WATER USING DEVICE , ALTERATION, REPAIR, CROSS CONNECTION DEVICE SPRINKLER SYSTEM INTERCEPTORS GRINDER, SUMP PUMP ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER VACUUM BREAKER CHECK VALVE, AND RP.B.P.D. FOR: VATS, TANKS, BOILERS MEDICAL GAS per outlet MISC. PLUMBING FIXTURE MOD OF PAYMENT SIM :ASH 0 CHECK ❑ MUM MSn E: KCARD NUMBER GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK NITROUS, OXYGEN EXPIRES: -IORIZED SIGNATURE: SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: