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:
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OWNER: l i r -P
SQL:
PHONE (Daytime Contact):
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1
MAILING ESS: I
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(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;
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(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: