Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2003, 11-13 Permit App: BLD-03-03056 Plumbing Reversal
ScrrY c �ryr 11707 East Sprague Avenue,Suite 106 509-688-0036•-Phone pa"kane Spokane Valley,WA 99206 509-688-0037-Fax 4000 Valley Plumbing Permit Application PROJECT PERMIT ADDRESS: 76.7374/ � ��j, /�� N I t 71A. USE: OWNER: /�, �S PHONE(Daytime Contact): MAILING ADDRESS:/ (street) (city/state) (ZIP) CONTRACTOR: LICENSE#: g. cc p MAILING ADDRESS: PHONE#: , 1 (street) (city/state) (ZIP) ' PLUMBING FIXTURES DESCRIPTION DETAILS 4'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 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, WASTE,VENT,PLUMBING REVERSALS / 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 R.P.B.P.D.FOR:VATS,TANKS,BOILERS X ." 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: ETHOD OF PAYMENT • • rafst -. PLUS PROCESSING FEE: $35.00 I CASH 0 CHECK 0 UMW .❑ _.- _: - TOTAL PERMIT FEE DUE: y/.i ATE: EXPIRES: NNKCARD NUMBER JTHORIZED SIGNATURE: