Loading...
2004, 05-27 Permit App: BLD-04-04460 Sprinkler System ,.'.. Received: 4/13/04 10:32AM; _> Haase.'Landscape nc. ;..,,.:-;age. APR 13 2004 10:10 FR TO 9260271 P.01/01 alt � PLUMBING PERMIT APPLICATION �q�p City of Spokane Valley Community Development Department e BulldingDivision ley 11707 E. SpragueAvenue, Suite 106 400,ValSpopokaneneWA 9 Valley, 06 Phone: (509)688-0036;Fax; (509)688-0037 FOR INSPECTION, CALL(509) 688-0054 Project Address: S 3 1 5 G to Permit Use: Owner: t t"'\ Wick ASO 4'\ Phone (Daytime Contact): Mailing Address: L S i 5 S jDo c W A "t q ZD 6 ii '' City State Zip Code Contractor: 1r a�s i L Y s cc,p z License#: Phone*: Mailing Address: E. 1 ZZ o Z T\I\o-PC- LS�aa�G �t WA (79Z-06 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 a 3 TUBS X $6,00 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X- $6,00 = 5 SINKS LAVS/BASINS,BAR,FLOOR, KITCHEN,LAUNDRY,UTILITY, X $6.00 = JANITOR.PHOTO.X-RAY,FOOD, PREP/CULINARYIMEAT 6 DISHWASHER X $6.00 = 7 CLOTHES WASHER X $6.00 8 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 = VENT, PLUMBING,_REVERSAL REPAIR,REVERSALS _ - 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 = 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 R.P.B.P.O,FOR: X $8.00 = . 0 0 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 = METHOD OF PAYMENT: SUBTOTAL 0 CASH 0 CHECK ❑ VISA 0 MASTERCARD PROCESSING FEE $36.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE L/Z • 00 BANKCARD NUMBER: AUTHORIZED SIGNATURE: