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HomeMy WebLinkAbout2004, 07-26 Permit App: BLD-04-07169 Plumbing Reversal11) Spokane Valley Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valle), WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 PROJECT ADDRESS: 9 J q \...iilode p_ PERMIT USE: OWNER:iLpL)� ie111...,,,PHONE - I�/ c ....5-7760 s -- (Daytime Contact): g hpMAILING MAILING ADDRESS: . l 6c�5�e� "5- I � (it..)r9- EQUALS (street)19 ) (� DLICENSE Q p P l (xni I n X MAILING ADDRESS 3C/is S.da/c -o - PHONE 7$ qal — s 7/ 3 2 (street) (city/state) (ZIP) PLUMBING FIXTURES METHOD 0 0 CASH DATE: EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE: DESCRIPTION DETAILS F 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 X $6 - 5 SINKS LAVSBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT X $6 - 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 - B GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X $6 - 10 ELECT. 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 CREVER.?:G REVERSAL INSTALLATION, ALTERATION, REPAIR, / X $6 - -- � 14 SEWAGE EJECTOR GRINDER, SUMP PUMP - X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER HOSE BIB, STEAMER, ?ROOFER, CARBONATOR, SWAMP COOLER X $6 - 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6 - 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT :CHECK •• 114is+' = ^-, SUBTOTAL: PLUS PROCESSING FEE: $35.00 • = ■ TOTAL PERMIT FEE DUE: DATE: EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE: