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2003, Permit: BD03-250 Plumbing Reversal
1 - crrt cx 11707 East Sprague Avenue,Suite 106 Spokane Valley,WA 99206 509-688-0036-Phone .0.10�� 509-688-0037-Fax Valley For Inspections, call 509-688-0054 Plumbing Permit Application w Cr aD03 .2.5'a PROJECT PERMIT ADDRESS: L7/q�a/ r E. 9?fk 14y6.... USE: /(,�`',2 L � OWNER: LE , l $ I/AIR ve`/ PHONE(Daytime Contact): MAILING ADDRESS: 7 4/90 E . -arid 1121/ .__ S o/49n/E 1'9Iei A//,' (strl eet) t4'1 ret_64I (city/state) (ZIP) / CONTRACTOR:A J / 57 p', ` jT j _ 6 LICENSE#:,421.. S WIn i 7 1)8 MAILING ADDRESS: - PHONE It: ?D'"" 62 4:9 (0 (street) (city/state) (ZIP) PLUMBING FIXTURES DESCRIPTION DETAILS It OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS X 2 URINALS $6 -. X $6 3 TUBS ' X $6 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X 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 IN LLA N,ALTERATION,REPAIR, WASTE,VENT,PLUMBING EVERSAIS X $6 REVERSAL I - 6, 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 - HOLDING TANK X $6 - 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FIXTURE X $6 - METHOD OF PAYMENT SUBTOTAL: MMUMMI 0 CASH 0 CHECK 0 PLUS PROCESSING FEE: $35.00 ❑ pLfoTOTAL PERMIT FEE DUE:DATE: EXPIRES: BANKCARD NUMBER AUTHORIZED SIGNATURE: