Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2003, 09-04 Permit App: BLD-03-02392 Plumbing Reversal
ose\ *Wane ` #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 PROJECT ADDRESS: */ c E % .4Kc-c t( DESCRIPTION PERMIT - USE: OWNER (/ k/A jk //c>, / X PHONE (Daytime Contact): MAILING ADDRESS: qL/ 5 t ,..„,,,,,,-C // 5 kIV/ c` L4 ca,.„,, % l/-1 (street) (city/state)// (ZIP) CONTRACTOR: ardviG' k cT4-Wa(-t).r LICENSE #: MAILING ADDRESS: / 302/ h //17 /el,F - PHONE #: ZZ2-o 6 5j _ ,-2 (street) (city state) (SP) PLUMBING FIXTURES IETHOD OF 3 CASH )ATE: EXPIRES: ANKCARD NUMBER: UTHORIZED SIGNATURE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 ET TOILS WATER CLOSET, BIDETS X $6 - 2 URINALS X - 3 TUBS X - 9 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 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 56 - 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 1315, 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 - 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK x - 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FURE DX X $6 - PAYMENT CHECK alyel' - VISA Wast _?cit --_�^_"�_ SUBTOTAL: PLUS PROCESSING FEE: $35.00 • ■ TOTAL PERMIT FEE DUE: 4-I o0 )ATE: EXPIRES: ANKCARD NUMBER: UTHORIZED SIGNATURE: