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2003, 07-16 Permit App: BLD-03-02034 Plumbing ReversalSpokane .FUalley Plumbing Permit Application 11707 East Sprague Ae.enue, Suite 106 509-688-0036 - Phone Spokane Valley; -WA 99206 509-688-0037 - Fax For Inspections, call' 509-688-0054 PROJECT.- / ADDRESS: r ll60 �e� C 4— PERMIT USE: 4C/% OWNER: l i r -P SQL: PHONE (Daytime Contact): %'}S /n -›510 om 1 MAILING ESS: I �%t (street) (city/state) (ZIP) EQUALS CO T _R: V yctit, / 1 t Arn i/ A LICENSE It: WATER CLOSET, BIDETS MAI�LI>N'G�ADLD-�R''I-1ESS: _! ryL S 40 3C/ /ot S. /��j�Il nl<I lJct_ PHONE 5: q I 5-q; 3 ( (` (street) (city/state) P) URINALS PLUMBIN 10 ELECT. HOT WATER TANK 11 FLOOR DRAINS X NOTE IF GAS, SEE MECHANICAL $6 12 I FOUNTAINS, DRINKING AREA, CASE, COIL, TRENCH, CONDENSATE X $6 X $6 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL 14 SEWAGE EJECTOR ALTERATION, REPAIR, REVERS'- LS X $6 X $6 15 I WATER USING DEVICE GRINDER, SUMP PUMP ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER ?ROOFER, CARBONATOR, SWAMP COOLER X $6 16 (CROSS CONNECTION DEVICE 17 SPRINKLER SYSTEM 18 (INTERCEPTORS X 86 VACUUM BREAKER CHECK VALVE, AND RP.B.P.D. FOR VATS, TANKS, BOILERS X $6 19 (MEDICAL GAS per outlet GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 425 X $6 20 IMISC. PLUMBING FIXTURE NITROUS, OXYGEN TROD OF PAYMENT MOM y� .ASH 0 CHECK Wieffila 0 E: KCARD NUMBER EXPIRES: -IORIZED SIGNATURE; X 46 X $6 SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: DESCRIPTION DETAILS # OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X - 2 URINALS X S6 - 3 TUBS X $6 - 4 5 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X • SINKS LAVSBASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT X $6 - 6 DISHWASHER X - 7 CLOTHES WASHER X $6 • 8 GARBAGE DISPOSAL X $b - 10 ELECT. HOT WATER TANK 11 FLOOR DRAINS X NOTE IF GAS, SEE MECHANICAL $6 12 I FOUNTAINS, DRINKING AREA, CASE, COIL, TRENCH, CONDENSATE X $6 X $6 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL 14 SEWAGE EJECTOR ALTERATION, REPAIR, REVERS'- LS X $6 X $6 15 I WATER USING DEVICE GRINDER, SUMP PUMP ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER ?ROOFER, CARBONATOR, SWAMP COOLER X $6 16 (CROSS CONNECTION DEVICE 17 SPRINKLER SYSTEM 18 (INTERCEPTORS X 86 VACUUM BREAKER CHECK VALVE, AND RP.B.P.D. FOR VATS, TANKS, BOILERS X $6 19 (MEDICAL GAS per outlet GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 425 X $6 20 IMISC. PLUMBING FIXTURE NITROUS, OXYGEN TROD OF PAYMENT MOM y� .ASH 0 CHECK Wieffila 0 E: KCARD NUMBER EXPIRES: -IORIZED SIGNATURE; X 46 X $6 SUBTOTAL: PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: