Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2004, 09-15 Permit App: BLD-04-07656 Plumbing Reversal
• PLUMBING PERMIT APPLICATION SitiV°F� City of Spokane tfaNey Community Development Department BuifdingDivision \Ia] �� 1 1707 E.Sprague Avenue, Suite 106 doeSpokane Valley, WA 99206 Phone: (509)688-0036;Fax: (509)688-0037 FOR INSPECTIONS, CALL(509)688-0054 Project Address: / /1) r ,,,c, �1�,� Kc./ Permit Use: Owner: i Z / , ` T Phone (Daytime Contact): Mailing Address: / ? < �� F?W/� (-) � City State Zip Code Contractor. C o of^�-�,st�:u - i.,..._0_37".4; License#: l ��c� ��,� Phone#: 9ay Mailing Address: City State Zip Code -- __ *OF --- - TOTAL -- --- - DESCRIPTION OF WORK UNITS X COST - AMOUNT • 1 TOILETS WATER CLOSET,BIDETS X $6.00 = 2 URINALS X $6.00 = 3 TUBS X $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 = • 5 SINKS LAVSIBASINS,BAR,FLOOR, KITCHEN,LAUNDRY,UTILITY, X $6.00 = JANITOR.PHOTO,X-RAY,FOOD, PREP/CULINARY/MEAT 6 DISHWASHER X $6.00 = 7 CLOTHES WASHER X $6.00 = B GARBAGE DISPOSAL X $6.00 = 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,. X $6.00 CONDENSATE 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 13 FOUNTAINS,DRINKING X $6.00 14 WATER PIPING/DRAIN-IN WASTE, INSTALLATION,ALTERATION, X $6.00 eP VENT, PLUMBING,REVERSAL REPAIR,REVERSALS 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $8.00 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB,STEAMER,PROOFER, X $6.00 CARBONATOR,SWAMP COOLER 17 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK ' VALVE,AND RP.B.P.D.FOR X $6.00 VATS,TANKS,BOILERS 18 INTERCEPTORS GREASE TRAP,SAND TRAP, X $6.00 CHEMICAL HOLDING TANK 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 E / • METHOD OF PAYMENT: SUBTOTAL r'&00 0 CASH CHECK 0 VISA ❑ MASTERCARD PROCESSING FEE $35.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: A//..©e) BANKCARD NUMBER: AUTHORIZED SIGNATURE: