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2003, 08-11 Permit App: BLD-03-02194 Plumbing Reversal
Sart cx 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone pokane Spokane Valley,WA 99206 509-688-0037-Fax ,,,.,Valley For Inspections, call' 509-688-0054 Plumbing Permit Application PROJECT PERMIT ADDRESS: USE: i OWNER: frj9C/ /.�l_A 1#� i.5-;� Co h� _1 4_0.k% /Y1 iv-e i I V C�w��` me Contact): 9 _` 5---Cd<,� MAILING ADDRESS: ` ` �" /L1 - Li \I-V-- (jt/U ,) er5fLu,L (street) (city/state) COnRA;CTTR: /i1( `6') /p J(t t // 1 LICENSE#: MAIIILIING ADDREESS: — PHONE#: 3 61 /3 C- S 19I r) 10 -ri (street) (city/state) (ZIP) PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS X 2 URINALS $6 ' X $6 3 TUBS 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 - 5 SINKS X $6 LAVSBASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6 RAY,FOOD,PREP/CULINARY/MEAT 6 DISHWASHER $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 X $6 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X 12 FOUNTAINS,DRINKING $6 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, X $6 - WASTE,VENT,PLUMBING. REVERSALS REVERSAL / = X $6 14 SEWAGE EJECTOR GRINDER,SUMP PUMP 15 WATER USING DEVICE X 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 GREASE TRAP,SAND TRAP,CHEMICAL X $25 HOLDING TANK )( m MEDICAL GAS per outlet NITROUS,OXYGEN - 20 MISC.PLUMBING FIXTURE X $6 X $6 — THOD OF PAYMENT SUBTOTAL: VISA' - fra5 ASH 0 CHECK 0 0 L . _ K'��_ PLUS PROCESSING FEE: $35.00 TOTAL PERMIT FEE DUE: B: EXPIRES: KCARD NUMBER: -IORIZE.D SIGNATURE: