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2004, 02-20 Permit App: BD-04-03589 Plumbing ReversalMETHOD 0 ❑ CASH DATE: Same Walley 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. 8S D g [` {� i fssI. cr'i l L/ �� PERMIT USE: OWNER:U-,.�(�,��, ^'-' 5/lIv 7._ �- PHONE (Daytime Contact): /Y MAILING ADDRESS:: gS'D 2. f. YYl issieni 4on x, to Al- iaeCo (street) (city/state) . (ZIP) "Mg?IFR: a p 1f' `� /( Li' yi ih% no LICENSE #: MAILING ADDRESS: C 3c -/la S.a06-4n/� PHONE I: q /'1 _`7 / - S / /CY WATER CLOSET, BIDETS (street)' (city/state) (ZIP) PLUMBING FIXTURES EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE- DESCRIPTION DETAILS # 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, STALL ON-SITE BUILT X $6 5 SINKS LAVSBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT X $6 - 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 - B 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 S6 - y:.(+ 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, TANKS, BOILERS X $6 - 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 FIXTURE X $6 - PAYMENT ] CHECK _ SUBTOTAL: Ste • YM_ ! PLUS PROCESSING FEE: $35.00 ■ ■ TOTAL PERMIT FEE DUE: g/ /jo EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE-