Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2003, 10-08 Permit App: BLD-03-02721 Plumbing Reversal, Fixtures
Spokanian "' Valley PLUMBING PERMIT APPLICATION PROJECT / ADDRESS: ) f7 a 'y 'k Lo C/.tv DESCRIPTION PERMIT USE: OWNER: v ., 0� I X con. ^ PHONE (Daytime Contact): eta Lily,S 3 -- GWe MAILING AD ESS: 1 TOILETS s6.4,.L.f (street) (city/state) (zip) CONTRACTOR: a Cou tZ�a\-N� AS On ( • LICENSE #: Co ut.e.c 1 S ! RI MAILING ADDRESS: 19-S i 6. sle GRPE.\ tapsLia, PHONE #: 507 9 -H -5 4 8s 990 i = (street) (city/state) (zip) PLUMBING FIXTURES BANKCARD NUMBER: AUTHORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X con. EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS (x5 $6 = 2 URINALS X $6 = 3 TUBS CRS $6 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6 = 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY/MEAT Q9 $6 6 0151 -WASHER X $6 = 7 CLOTHES WASHER X $6 = 8 GARBAGE DISPOSAL - X $6 = 9 WATER SOFTENER X $6 10 ELEC 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 = 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, SUMPS, 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 $6 = 20 MISC PLUMBING FIXTURE /$Z} $6 = 26„,___ `f SUBTOTAL 1W i I CASH • CHECK ■ ■ .` PLUS PROCESSING FEE $35.00 FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT OFA MAJOR CREDIT CARD TOTAL PERMIT FEE DUE BANKCARD NUMBER: AUTHORIZED SIGNATURE: