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2005, 12-16 Permit App: 05004687 Plumbing Fixtures
4.0.0r Valley Plumbing Permit Application /..«)Y-( For Inspections, call 509—bt16-0U4 PROJECT ADDRESS: OWNER MAILING ADDRESS: (street) CONTRACTOR 1 1S. t1 v) 4-s (fit, mow` JT _ I L 7 MAILING ADDRESS: .I/ 7 6- ut,R y (street) DESCRIPTION 1 TOILETS 2 URINALS 3 TUBS 4 SHOWERS (PER TRAP) 5 SINKS 6 DISHWASHER 7 CLOTHES WASHER 8 GARBAGE DISPOSAL 9 WATER SOFTENER 10 ELECT. HOT WATER TANK 1I FLOOR DRAINS 12 FOUNTAINS, DRINKING 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING . REVERSAL 14 SEWAGE EJECTOR 15 WATER USING DEVICE 16 CROSS CONNECTION DEVICE 17 SPRINKLER SYSTEM 18 INTERCEPTORS (city/state) -h (city/state) PLUMBING FIXTURES DETAILS WATER CLOSET, BIDETS PERMIT USE: PHONE (Daytime Contact): LICENSE PHONE 1: ne- BATH, STALL„ ON-SITE BUILT LAVS/BASINS, BAR FLOOR KGTCHEN, LAUNDRY, UTILITY, JANITOR PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT NOTE: IF GAS, SEE MECHANICAL AREA, CASE, COIL, TRENCH, CONDENSATE INSTALLATION, ALTERATION, REPAIR, REVERSALS GRINDER, SUMP PUMP ICE AND/OR COH•.b MAKER HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER VACUUM BREAKER CHECK VALVE, AND R.P.B.P.D. FOR VATS, TANKS, BOILERS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK 19 MEDICAL GAS per outlet NITROUS, OXYGEN 20 MISC. PLUMBING FIXTURE ETHOD OF PAYMENT • VISA' • CASH ❑ CHECK 0 PlitiNingt +ATE: ANKCARD NUMBER: .UTHORIZED SIGNATURE: EXPIRES: • (ZIP) t OF UNITS X X X .23 Sao A COST EQUALS AMOUNT 56 56 X 56 X 56 X 56 X 56 X - 56 X 56 X 56 X 56 X $6 X 56 X 56 X 56 X $6 X 56 X 525 X 56 X 56 X 56 SUBTOTAL PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: