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2003, 12-09 Permit App: BLD-03-03234 Plumbing Reversal, Fixtures
SCIT1<x)T11707 East Srrague,��venue,Suite 106 509-688-0036 Phone pakane r , Spokane Valley,WA 99206 509-688-0037-Fax .000Valley . Plumbing Permit Application PROJECT PERMIT ADDRESS: ‘i j0 I,v 7 ��` USE: OWNER: C / m— irrz j''�'Ci PHONE(Daytime Contact): MAILING ADDRESS: 0/ (street) (city/state) (ZIP) CONTRACTOR: (,//14'1.A., n r LICENSE#: MAILING ADDRESS: PHONE#: (street) (city/state) (GIP) ' 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 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 12 FOUNTAINS,DRINKING X $6 - 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, WASTE,VENT,PLUMBING REVERSALS X $6 - REVERSAL ..4 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 56 - R.P.B.P.D.FOR:VATS,TANKS,BOILERS 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL X $6 - HOLDING TANK 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 4- 20 20 MISC.PLUMBING FIXTURE X $6 = SUBTOTAL: LETHOD OF PAYMENT _ I F=�:: •U• • ,V, asrw a f.. PLUS PROCESSING FEE: $35.00 4-"C/ASH 0 CHECK 0 Eanal 0 TOTAL PERMIT FEE DUE:' -/� ATE: EXPIRES: 5- 7 +1NKCARD NUMBER: UTHORIZED SIGNATURE: �,�i1/, Z (:€4.—"4-..._4—_.