Loading...
2004, 04-27 Permit App: BLD-04-04209 Plumbing Reversal PLUMBING PERMIT APPLICATION Clan'Tv City of Spokane Valley Community Development Department polBuildingDivision galley 11707 E. Sprague Avenue, Suite 106 4, Spokane Valley, WA 99206 Phone: (509) 688-0036;Fax: (509) 688-0037 FOR INSPECTIONS, CALL(509) 688-0054 Project Address: _ 4 , z C 1 Permit Use: Owner: rt-v/ X,3 / Phone (Daytime Contact): Mailing Address: /poc 4 5jA-,27(7 ,Ai-i <-,-.4 `3sZe 2 ity State Zip Code Contractor: AZ44,2( i44-r<-A-L is) License#: ,ezG) Phone#: 2 ---e'--,c. ..) .--f- , Mailing Address: 1 I i__ 4. . --- City' State Zip Code #OF TOTAL DESCRIPTION OF WORKUNITS X COST = AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6.00 = 2 URINALS X $6.00 = 3 TUBSX $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 = 5 SINKS LAYS/BASINS,BAR,FLOOR, KITCHEN,LAUNDRY,UTILITY, X $6.00 = JANITOR,PHOTO,X-RAY,FOOD, PREP/CULINARY/MEAT - 6 DISHWASHER X $6.00 = 7 CLOTHES WASHER X $6.00 8 GARBAGE DISPOSAL X $6.00 = 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 = 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH, X $6.00 = CONDENSATE 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS,DRINKING X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, INSTALLATION,ALTERATION, X $6.00 = VENT, PLUMBING,REVERSAL REPAIR,REVERSALS j - 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB,STEAMER,PROOFER, X $6.00 = CARBONATOR,SWAMP COOLER 17 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND R.P.B.P.D.FOR: X $6.00 = VATS,TANKS,BOILERS 18 INTERCEPTORS GREASE TRAP,SAND TRAP, X $6.00 = CHEMICAL HOLDING TANK 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X_ $6.00 = METHOD OF PAYMENT: SUBTOTAL ❑ CASH 0 CHECK 0 VISA 0 MASTERCARD PROCESSING FEE $35.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: