Loading...
2004, 05-28 Permit App: BLD-04-04461 Plumbing Reversal SSPO'cH regi 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone PO''lime Spokane Valley,WA 99206 509-688-0037-Fax ,,,,,r• -Valley For Inspections, call 509-688-0054 Plumbing Permit Application PROJECTi3PERMIT ADDRESS: ,6117 LUSE: eiti OWNER: L42-44,41-L1 , l'^)' / cejr PHONE(Daytime Contact): MAILING DDRESS: `J-( �/ ,6-O2 - , �_Cts- 9F 6 (street) (city state) (ZIP) CO RA f -'31(A., r (' QR: ;� / kin4\i n LICENSE#: MAILING ADDRESS: PHONE#: _ (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 LAVS/BASINS,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 I N,ALTERATION,REPAIR, WASTE,VENT,PLUMBING. REVERSA 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 X $6 - R.P.B.P.D.FOR:VATS,TANKS,BOILERS 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL •HOLDING TANK X - 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FIXTURE X $6 - SUBTOTAL: METHOD OF PAYMENT • • i3,^'ss_, - PLUS PROCESSING FEE: $35.00 0 CASH 0 CHECK 0 =Ma 0 �_ _ , TOTAL PERMIT FEE DUE: DATE: EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE: