Loading...
2003, 09-24 Permit App: BLD-03-02575 Plumbing ReversalTROD OF CASH TE: Spokane Valley 11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone Spokane Valley, WA 99206 509-688-0037 - Fax Plumbing Permit Application PROJECT ADDRESS:/6 Jj3 E, /(/CJi24 PERMIT USE: OWNER: 0f//G/3. 6i'G /...op,,z (Daytime Contact): MAILING ADDRESS: A: 7 /3I., /✓arc's- (street) (city/state) (ZIP) CONTRACTOR: / ,�/ � - 7 .��.'�,.� � SE..,t,t LICENSE S: /9_(� ears ,-,76 e) a MAILING ADDRESS: /Z 2-732X' ,. �atE-,v - - srq,,a-rtes PHONE S: G/�'- 4�/Z/ ../a cre / 4 (street) (city/state) X (ZIP) • PLUMBING FIXTURES VKCARD NUMBER. THORIZED SIGNATURE: DESCRIPTION DETAILS S 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 LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X- RAY, FOOD; PREP/CULINARY/MEAT X $6 - 6 DISHWASHER X $6 - 7 CLOTHES WASHER X S6 - S GARBAGE DISPOSAL X S6 - 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 $6 - 12 FOUNTAINS, DRINKING • X $6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR REVERSALSt Li 44,4, 43.4474... �� X $6 - 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, ?ROOFER,CARBONATOR SWAMP COOLER X $6 - 16 CROSS CONNECTION DEVICE VACUUM BREAKER CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X - 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 19 MEDICAL GAS per outlet NITROUS, OXYGEN X $6 - 20 MISC. PLUMBING FIXTURE X $6 - PAYMENT ] CHECK Y/SA' ' tuz? _.___.^_ SUBTOTAL: PLUS PROCESSING FEE: - $35.00 ■ ■ TOTAL PERMIT FEE DUE: VKCARD NUMBER. THORIZED SIGNATURE: City of Spokane Valley 11707 East Sprague Avenue, Suite 106 Spokane Valley, WA 99206 9-- City Hall 921-1008 - Fax # facsimile transmittal — Please deliver ASAP to: LEAK) EAN I 5 FAX #: FROM: Barry Husfloen, Bldg. Inspector Date: RE: l\--1 107 13 N b RA Pages: 477- ti7r3 04 t_ ' t1J 15 , \?"'AGS f L ANN\BrNs(-lows rtbo-Af5, (d9Nrvgvcb`rz , Dtr) N5 -P, d) cy-a-03 / N) ��� f �r�r✓V Afro 61/ of PPC 1 - 9©0 ,-- - I I I o Ooh Rc,OE SAS ut►Jflt� C -,f1/4 R, SLAB