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2003, 07-28 Permit App: BLD-03-02086 Plumbing Reversal
Scrr4<.x Ii' ,, 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone p+ik�.ne Spokane Valley,WA 99206 509-688-0037-Fax ,,,00Valley For Inspections, call' 509-688-0054 Plumbing Permit Application PROJECT 0�Z� PERMIT ADDRESS: r,. ---E---As., USE: ofxb OWNER: ri PHONE(Daytime Contact): MAILING DRESS: 1p�� AIM, I 41 - - til. r -Aga A L_/ / 4111, I�► IIS (street) (city/state) (ZIP) CO7SREERy iZctio pi 1 (kArx jii' iil LICENSE#: MAILING ADDRESS: PHONE#: oici f(-)1< t c- g R 6 3 '''] (street) (city/state) (ZIP) PLUMBING FIXTURES DESCRIPTION DETAILS #OF W'I1TS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6 2 URINALS 3 TUBS X $6 • 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 11 FLOOR DRAINS $6 • AREA,CASE,COIL,TRENCH,CONDENSATE X $6 - 12 FOUNTAINS,DRINKING $6 - 13 WATER PIPING/DRAIN-IN X ,ALTERATION,REPAIR, WASTE,VENT,PLUMBING. REVERSALS REVERSAL `/ X $6 ' 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X 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 RP.B.P.D.FOR VATS,TANKS,BOILERS X $6 • 17 SPRINKLER SYSTEM 18 INTERCEPTORS GREX $25 • ASE TRAP,SAND TRAP,CHEMICAL HOLDING TANK X $6 • 19 MEDICAL GAS per outlet NITROUS,OXYGEN 20 MISC.PLUMBING FIXTURE X $6 X $6 TROD OF PAYMENT SUBTOTAL: MA' • • Was l` ' PLUS 2ASH 0 CHECK ❑ ! -'"'''; PROCESSING FEE: ❑ �_._.._.__..._ $35.00 TOTAL PERMIT FEE DUE: E: EXPIRES: KCARD NUMBER: -TORIZED SIGNATURE: