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2003, 08-08 Permit App: BLD-03-02175 Plumbing Reversal
MOD OF :ASH E: Spokane ..`Valley I 11707 East Sprague Avenue, Suite 106 509-688-003.Phone' Spokane Valley, WA 99206 509-688-0037 - Fax Plumbing Permit Application PLUMBING F PROJECT ADDRESR jr N. / / Gv S � /.f� /�R /� PERMIT USE: DESCRIPTION OWNE J - Q/t ALJ t � PHONE (Daytime Contact): pp -?2-2 % �"'' MAILING DDRESS: / /�y SF-tM f 7 (street) (city/state) (ZIP) I CONTRACTOR: / E: LICENSE p ` Q t//'Cc 144 /iy Cn°go/Alit..lr CO3v c iaa. MAILING ADDRESS: cg -IA -,R/ 1 92'/Fr C -Siotf)-q u ro 7.1_,e,4 ,Q / PHONE #: �/?oi'4 URINALS (street) �/ (city/state) (Gll') X $6 PLUMBING F KCARD NUMBER: FIORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT I TOILETS WATER CLOSET, BIDETS. X $6 - 2 URINALS X $6 3 TUBS X 56 - 4 SHOWERS(PER TRAP) BATH, STALL, ON-SITE BUILT X $6 5 SINKS ' LAVSBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UULITY, JANITOR, PHOTO; X- RAY, FOOD, PREP/CULINARY/MEAT X $6 - 6 DISHWASHER' X $6 7 CLOTHES WASHER - X $6 - 8 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 _ REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS % ( X $6 Oac,% - 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, 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 PAYMENT D a -ICK 11.11.11111 - SUBTOTAL: / PLUS PROCESSING FEE: $35.00 EXPIRES: TOTAL PERMIT FEE DUE:"L/I t 00 LL KCARD NUMBER: FIORIZED SIGNATURE: