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2004, 07-21 Permit App: BLD-04-07132 Plumbing Reversal ((��crr4 o j"(�0�° 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone 1..7 11, ie Spokane Valley,WA 99206 509-688-0037-Fax .000Valley.ley For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT ` PERMIT ADDRESS: �y [� `�, ��� L ]- USE: OWNER: J/1 n n4 I /0 7 /l,f,,yy� „� ��� PHONE(Daytime Contact): ��& 9 / MAILING ADDRESS: 1- f// (+y Lit�� ✓� S V q / r - C `eA6 /Yte c / (street) (cittate) (ZIP) COI aMAILINGERESS: iCk�n/6 r n LICENSE#: PHONE#: ?(9 % _ S ?/ 3 3q /. S. ddo nom (� (street) (city/state) (ZIP) - PLUMBING FIXTURES DESCRIPTION DETAILS #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 LAVSBASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6 - RAY,FOOD,PREP/CULINARY/MEAT 6 DISHWASHER X $6 = 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X $6 - 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 INSTALLATION,ALTERATION,REPAIR, WASTE,VENT,PLUMBING. REVERSALS / X $6 - REVERSAL 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, STEAMER,PROOFER,CARBONATOR, X $6 - SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND J( $6 = R.P.B.P.D.FOR:VATS,TANKS,BOILERS 1 17 SPRINKLER SYSTEM X $25 (JJ 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL - 4 Y �/ HOLDING TANK X $6 ,L•9 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 = 20 MISC.PLUMBING FIXTURE X $6 = SUBTOTAL: METHOD OF PAYMENT • ittie 1 PLUS PROCESSING FEE: $35.00 0 CASH 0 CHECK 0 NM= ❑ .--,'._ . TOTAL PERMIT FEE DUE: VOID DATE: EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE: