Loading...
2003, 10-31 Permit App: BLD-03-02959 Plumbing ReversalETHOD OP CASH #Malley Plumbing Permit Application 11707 East Sprague Avenue, Suite 106 509-688-0036'- Phone Spokane Valley, WA 99206 509-688-0037 - Fax )RFPE ADDUCE:: 0 5 O 6 ( rh t�'1 6-e USE Ii_ b, w cy OWNER D14Le C /' C`�'1� J l�--� .- PHONE (Daytime Contact): ray -33— G3v9 MAILING ADDRESS: Gros— G 941-41,0 Seo%, -e UA -1L•,. 7107I2 (street) ' (city/state) - (ZIP) CONTRACTOR X. LICENSE 1: MAILING ADDRESS: 2 PHONE 1: X (street) (city/state) (ZIP)' PLUMBING FDCTURES NKCARD NUMBER THORIZED SIGNATURE: • DESCRIPTION - DETAILS 4 OF UNITS X ' COST EQUALS AMOUNT 1 TOILETS - WATER CLOSET, BIDETS X. 2 URINATE X - TUBS X 36 - 4 SHOWERS (PER TRAP) BATF, STALL ON -sI I BUILT X S6 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY; MUTT, JANITOR, PHOTO, X- RAY, FOOD; PREP/CULINARY/MEAT X . 66 - 6 DISHWASHER X , 36 . - •. 7 CLOTHES WASHER X ,. 36 - 6 GARBAGE DISPOSAL X M - 9 WATERSOFTENER X - 10 ELECT. HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X - 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X 36 - 12 POUNTABOS.DRINKIN '. _. _.. _. — _. X ._ .._S6 - 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTA ON, ALTERATION, REPAIR - CVERSA LS . I ` - 14 SEWAGE EJECTOR GRINDER, SUMP PUMP X 36 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSEBIB, STEAMER, PROOPER, CARBONATOR, SWAMP COOLER X 66' 16 CROSS CONNECTION DEVICE _. VACUUM BREAKER, CHECK. VALVE, AND RP.BP.D. FOR: VATS, TANKS, BOILERS X 36•- 17 SPRINKLER SYSTEM X 625 - 16 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 36 19 MEDICAL GAS per outlet NITROUS, OXYGEN X 16 - 20 MLSC PLUMBING FIXTURE k S6 - PAYMENT, CI-fficx 0- Erni= ❑ _ _._ ... SUBTOTAL: PLUS PROCESSING FEE: - ' $35.00 TOTAL PERMIT FEB DUE: NKCARD NUMBER THORIZED SIGNATURE: •