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2004, 02-18 Permit App: BLD-04-03578 Plumbing Reversal
Siol((��clrt cx jj�#�1,,1 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone i lne Spokane'Va11ey,WA 99206 509-688-0037-Fax 40000 Valley For Inspections, call 509-688-0054 Plumbing Permit Application552 PROJECT PERMIT ADDRESS: 749 6 // !/t...‘//I v/ USE: OWNER: fe, ifc. 64,/.4 7�/,/.4 PHONE(Daytime Contact): CO y c.,,f MAILING ADDRESS: S /t ..2 - (street) (city/state) (ZIP) CONTRACTOR: LICENSE#: MAILING ADDRESS: PHONE#: p� i dl �' sE5Er It /a C-1 S-1-6 V 61^t-pJ-tccyi,� (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 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 $6 = 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 - 12 FOUNTAINS,DRINKING X $6 - 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, WASTE,VENT,PLUMBING REVERSALS t X $6 - J� 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 $6 - R.P.B.P.D.FOR:VATS,TANKS,BOILERS 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL - HOLDING TANK X 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 = 20 MISC.PLUMBING FIXTURE X $6 - SUBTOTAL: METHOD OF PAYMENT MOM• •'Vs* : PLUS PROCESSING FEE: $35.00 0 CASH ❑ CHECK ❑ ❑ '_. __. `'_ TOTAL PERMIT FEE DUE: &/l r DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: