HomeMy WebLinkAbout2004, 04-05 Permit App: BLD-04-03973 Plumbing Reversal*lane
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PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuildingDivision
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Phone: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL (509) 688-0054
Project Address: j 0 ! 5 / y o Q -±J 1_- Permit Use:
Owner: C co-v,av,
Phone (Daytime Contact):
Mailing Address:
State Zip Code
City
Contractor: B1 CTaute dr (v -e ak, f License #: Phone #:
Mailing Address: jgj-ii 4ora7v.
City
State
BANKCARD NUMBER,
AUTHORIZED SIGNATURJ ` te:..
Zip Code
DESCRIPTION OF WORK
# OF
UNITS
X
COST
=
TOTAL
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6 00
=
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6 00
=
5
SINKS
tAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X
$6 00
=
6
DISHWASHER
X
$6 00
=
7
CLOTHES WASHER
X
$6 00
=
B
GARBAGE DISPOSAL
X
$6 00
9
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
NOTE' IF GAS, SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
INSTALLATION, ALTERATION,
REPAIR, REVERSALS
X
NA
$6.00
=
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLER
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK
VALVE, AND R P.B P D. FOR-
VATS, TANKS, BOILERS
-
X
$6.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6 00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
=
METHOD OF PAYMENT:
lifILSIL,SH 0 CHECK ❑ VISA 0 MASTERCARD
DATE: EXPIRES.
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
BANKCARD NUMBER,
AUTHORIZED SIGNATURJ ` te:..
Zip Code