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2004, 07-29 Permit App: BLD-04-07187 Plumbing Reversal, Fixture
Spokane'ms""" #Valley 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037- Fax For Inspections, call 509-688-0054 Plumbing Permit Application PROJ ADDRESSECT PERMIT: 9R/i �. , ,p USE: OWNER C-" c-94')/ALS /}� MAILING ADDRESS: (street) (city/state) CONTRACTOR L/-/ 5 Constm cyj 10/3 (LICENSE 2: MAILING ADDRESS: I , PHONE 2: 11817 (/lAley scoklin� (street) (city/state) Cq- 7/ g? 1 PHONE (Daytime Contact): 999 /77s--97 (ZIP) /Is G'Oi1 * 4<- t)(2 G)a. 99ao /. (ZW) PLUMBING F 6 7 8 9 RAY, FOOD, PREP/CULINARY/MEAT DISHWASHER CLOTHES WASHER X 56 GARBAGE DISPOSAL X 56 10 11 12 WATER SOFTENER ELECT. HOT WATER TANK FLOOR DRAINS X X $6 56 FOUNTAINS, DRINKING NOTE: IF GAS, SEE MECHANICAL AREA, CASE, COIL, TRENCH, CONDENSATE X $6 X 56 13 14 15 16 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL SEWAGE EJECTOR INSTALLATION, ALTERATION, REPAIR, REVERSALS X X 56 56 WATER USING DEVICE GRINDER, SUMP PUMP X 56 CROSS CONNECTION DEVICE ICE AND/OR COFFEE MAKER HOSE MB, STEAMER, ?ROOFER, CARBONATOR, SWAMP COOLER X 56 VACUUM BREAKER, CHECK VALVE, AND RP.B.P.D. FOR: VATS, TANKS, BOILERS X 56 17 18 SPRINKLER SYSTEM INTERCEPTORS X 525 GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 56 19 MEDICAL GAS per outlet NITROUS, OXYGEN 20 MISC. PLUMBING NA 3 URE X X 56 $6 IETHOD OF PAYMENT 3 CASH ❑ CHECK 0 PATE: EXPIRES: ANKCARD NUMBER UTHORIZED SIGNATURE: SUBTOTAL: PLUS PROCESSING FEE: ,7 $35.00 TOTAL PERMIT FEE DUE: 92 5-7 DESCRIPTION DETAILS 2 OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS / X 86 - 2 URINALS X $6 3 TUBS X $6 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT / / X E6 - O� (0' 5 SINKS LAVS/BASINS, BAR FLOOR KITCHEN, LAUNDRY, UTILrN, JANITOR PHOTO, X- X ea _ 6 7 8 9 RAY, FOOD, PREP/CULINARY/MEAT DISHWASHER CLOTHES WASHER X 56 GARBAGE DISPOSAL X 56 10 11 12 WATER SOFTENER ELECT. HOT WATER TANK FLOOR DRAINS X X $6 56 FOUNTAINS, DRINKING NOTE: IF GAS, SEE MECHANICAL AREA, CASE, COIL, TRENCH, CONDENSATE X $6 X 56 13 14 15 16 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL SEWAGE EJECTOR INSTALLATION, ALTERATION, REPAIR, REVERSALS X X 56 56 WATER USING DEVICE GRINDER, SUMP PUMP X 56 CROSS CONNECTION DEVICE ICE AND/OR COFFEE MAKER HOSE MB, STEAMER, ?ROOFER, CARBONATOR, SWAMP COOLER X 56 VACUUM BREAKER, CHECK VALVE, AND RP.B.P.D. FOR: VATS, TANKS, BOILERS X 56 17 18 SPRINKLER SYSTEM INTERCEPTORS X 525 GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 56 19 MEDICAL GAS per outlet NITROUS, OXYGEN 20 MISC. PLUMBING NA 3 URE X X 56 $6 IETHOD OF PAYMENT 3 CASH ❑ CHECK 0 PATE: EXPIRES: ANKCARD NUMBER UTHORIZED SIGNATURE: SUBTOTAL: PLUS PROCESSING FEE: ,7 $35.00 TOTAL PERMIT FEE DUE: 92 5-7