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2003, 10-22 Permit App: BLD-03-02870 Plumbing Reversal
11707 East SpragneAvenue, Suite 106 509-688-0036 Phone Spokane Valley, WA 99206 #ValleJ Plumbing Permit Application 509-688-0037 - Fax 9 -no PROJECT ADDRFSS 7$a, re-97/4,USE: PERMIT ,( e4e,n/% OWNER: .014 A/� ��206 PHONE (Daytime Contact): MAILING ADDUCE: 5/09 ti -4.-et £,D S 4A-6 vt/ i,Za� (street) (dty/state) - (ZIP) CONRACTOR = /Kj- e LICENSE 1: J 4„..„.„ c- oe yJ ,W - J �/ MAILINGAPR5az i°v.+-.ISenl PHONE 0: etEN,M, .zi9'oy69 (street) (city/state) (Z@) PLUMBING FIXTURES IETHOD 0 1 CASH ATE: NKCARD NUMBER ITHORIZED SIGNATURE DESCRIPTION - DETAILS II OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET, BIDETS X 56 - 2 URINALS X $6 - TUBS X 56 4 SHOWERS (PER TRAP) BATH, STALL ON -SHE BUILT X 56 5 SINKS LAVS/BASINS, BAR FLOOR KITCHEN, LAUNDRY, UTILITY, JANITOR PHOTO, X- RAY, FOOD, PREP/CULINARY/MEAT X ' $6 - 6 DISHWASHER X 56 - 7 CLOTHES WASHER X $6 - 8 GARBAGE DISPOSAL X 56 - 9 WATER SOFTENER .. X $6 - 10 ELECT. HOT WATER TANK NOTE IF GAS, SEE MECHANICAL X 66 - 11 FLOOR DRAINS AREA, CASE, COIL TRENCH, CONDENSATE X $6 - 12 FOUNTAINS, DRINKING ' -' -- 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR REVERSALS- X 56 - GC 14 SEWAGE EJECTOR GRINDER SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER HOSE 313, STEAMER PROOFER CARBONATOR SWAMP COOLER X 56 -• 16 CROSS CONNECIION DEVICE VACUUM BREAKER CHECK VALVE, AND- RP.BP.D. FOR: VATS, TANKS, BOILERS .X 17 SPRINKLER SYSTEM X 525 - 18 INTERCEPTORS ' X GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK 19 MEDICAL GAS per outlet NITROUS, OXYGEN X 56• 20 MISC. PLUMeINCFUCrURE X 56 - PAYMENT San- ] CHECK ❑'111.111/11 ❑ • -... SUBTOTAL; PLUS PROCESSING FEE: - .. $35.00 TOTAL PERMIT FEE DUE: NKCARD NUMBER ITHORIZED SIGNATURE