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2003, Permit: BD03-617 Plumbing Reversal
►>(�crr4 or +/° 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone j ne Spokane Valley,WA 99206 509-688-0037-Fax 40010*Valley For Inspections, call 509-688-0054 Plumbing Permit Application ' 0-3-(9 I) .4:1 .. • y 1 ..... , PROJECT /4). PERMIT [ ADDRESS: /e.--fog S,,,,,L,Lq2._taik,i), /USE: ` ij..Q L — ZC�-I OQ OWNER:• n PHONE(Daytime Contact): MAILING ADDRESS: (street) (city/state)ri (ZIP) CONTRACTOR:ono��'�.vv-N.0 ,.v-J LICENSE#: MAILING ADDRESS: PHONE#: \ '‘g (/N) RIS=7 k (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 IN e ON ALTERATION,REPAIR, WASTE,VENT,PLUMBIN RSALS ) X $6 - L9 - __ 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 - R.P.B.P.D.FOR:VATS,TANKS,BOILERS 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL X - HOLDING TANK 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FIXTURE X $6 - SUBTOTAL: IETHOD OF PAYMENT YLSrir,�.5I PLUS PROCESSING FEE: $35.00 ] CASH 0 CHECK 0 Illaffilli 0 �_ ....--..=:-_‘'..; 01) TOTAL PERMIT FEE DUE: V/u 'ATE: EXPIRES: /l ANKCARD NUMBER: UTHORIZED SIGNATURE: