Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2003, 06-12 Permit App: 03004168 Sewer
Spocrrxc ae 11707 East Sprague Avenue, Suite 106 509-688-0036 -Phone Spokane Valley,WA 99206 509-688-0037-Fax 4000Vaey Plumbing Permit Application �-`'�' AI, —) PROJECT PERMIT ADDRESS: 4: j/ / '��i /J USE: J C_ OWNER: 5v`�/'C-. 1 :17-70-1> 17-70-l• PHONE(Daytime Contact) : �' MAILING ADDRESS: V �, (street) (city/state) (ZIP) - CONTRACTOR: / /> �7'�- ,�� LICENSE#: rscsier/4i oi" C_RscarN t'fi a C_L7 u,cc / ', i'7 MAILING ADDRESS: PHONE#: 15 /F k Sro r/9-,c' c,to f.1-0 A . r*c9/'A (street) (city/state) (LW) 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 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 X $6 - 12 FOUNTAINS,DRINKING X $6 - 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, WASTE,VENT,PLUMBING REVERSALS X _.r_________ REVERSAL / - j 14 SEWAGE EJECTOR GRINDER,SUMP PUMP ! X $6 - Le 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 $6 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 - ['HOD OF PAYMENT SUBTOTAL: /' 1111111111111011 PLUS PROCESSING FEE: $35.00 :ASH . 0 CHECK ❑ IMINNER 0 TOTAL PERMIT FEE DUE: -7`'/7y E: EXPIRES: KCARD NUMBER: riORIZED SIGNATURE: