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BD-03-508 Plumbing Reversal
METHOD 0 ❑ CASH *lane Valley Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax For Inspections, call 509-688-0054 M 01 -5 -di PROJECTPERMIT ADDRESS: I (4 24 ('1. C� 1((t A I USE: DETAILS OWNER\ re fn a dal / n rr ,% ! 1< PHONE (Daytime Contact): / _g' / © / O MAILIN ADDRESS: 1 c -I a c--71 . ( int e Lid cl pnu (tJ 99,-)6 Co (street) (city/state) (ZIP) AMOUNT CON A3Okikap LICENSE t: TOILETS MAILING ADDRESS: 3 q-1 / 1 3. ac 6 po-Acuo PHONE 0: R a I , 5-9 (, X LaeL9q 6 3 ) (street) (city/state) (ZIP) PLUMBING FIXTURES DESCRIPTION DETAILS P 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, SCALL, ON-SITE BUILT X $6 - 5 SINKS LAVS/BASINS, BAR, FLOOR KITCHEN, LAUNDRY, UTILITY, 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 - II FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6 - 12 FOUNTAINS, DRINKING X $6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL I TION, ALTERATION, REPAIR, �EVERSA / 1! X $6 - 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 - 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 $6 - PAYMENT CHECK innil VIS4 OaS - - l__` ? --` SUBTOTAL: PLUS PROCESSING FEE: -_ _ $35.00 - ■ ■ TOTAL PERMIT FEE DUE: 14i oo DATE: EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE: