Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2004, 05-11 Permit App: BLD-04-04327 Plumbing Reversal
Spokane ,,,rf 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 q ( ADDRESS: (/(/- 716)441 q Q () f' OWNER:MAILING ApDRES N�� PERMIT USE: PHONE (Daytime Contact): q / —9'92z7 9H4 C 42 S-10ka uL Oa. 99:20 6 —Y/47 (street) (dr/state) (ZIP) CONTRACTOR: it it, C V C,.-ntYC c I 0/3 MAILING ADDRESS: ` LICENSE 1: %-1S C'DA] . 1a3k!" PHONE 1: 1/817 6 blt,lley Lacy kli.ne, (street) gal) LL . 99a0 (city/state) (ZIP) PLUMBING FIXTURES DESCRIPTION 1 TOILETS DETAILS WATER CLOSET, BIDETS 1 OF UNITS X COST EQUALS AMOUNT 2 3 URINALS TUBS X X 56 56 4 5 SHOWERS (PER TRAP) SINICS BATH, SCALL, ON-SITE BUILT X X 56 LAVS/BASINS, BAR, FLOOR KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT X E6 6 DISHWASHER 7 8 CLOTHES WASHER GARBAGE DISPOSAL X X 56 56 9 WATER SOFTENER X $6 10 ELECT. HOT WATER TANK X $6 11 12 FLOOR DRAINS FOUNTAINS, DRINKING NOTE: IF GAS, SEE MECHANICAL AREA, CASE, COIL, TRENCH, CONDENSATE X $6 X 56 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X x 56 $6 4 oo 14 15 SEWAGE EJECTOR WATER USING DEVICE GRINDER, SUMP PUMP X 56 ICE AND/OR COFFEE MAKER HOSE BIB, STEAMER, ?ROOFER, CARBONATOR, SWAMP COOLER X 56 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND RP.B.P.D. FOR VATS, TANKS, BOILERS X 17 18 SPRINKLER SYSTEM INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 525 X 56 19 MEDICAL GAS per outlet NITROUS, OXYGEN 20 MISC. PLUMBING FUTURE X X $6 $6 4ETHOD OF PAYMENT 3 CASH 0 CHECK 0 >ATE: EXPIRES: ANKCARD NUMBER: UTHORJZED 51 GNATURE: SUBTOTAL: 6,00 PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: