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2004, 09-20 Permit App: BLD-04-07697 Plumbing Reversal PLUMBING PERMIT APPLICATION S011\IIIIIIi, ' YCity of Spokane Valley Community Development Department ��, BuildingDivision ��� 11707 E.Sprague Avenue, Suite 106 .00Spokane Valley, WA 99206 Phone: (509)688-0036;Fax: (509)688-0037 FOR INSPECTIONS, CALL(509)688-0054 Project Address:' e")S' (✓ JJ t h Permit Use: Owner: edv1/4l ?%-v--es Phone (Daytime Contact): Mailing Address: dcF/r i- » t" Auk :' If ti V'' SS ia-- o/b 6 City State Zip Code Contractor. J-v►1 c.....d N K1 ey c..ua. s-►2Q.icense#: .4-A LRh r e%rarPhone#: 9951-1-42J-V Mailing Address: LA F7 At:- la )2 I to-1\010 AO- 95 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 =- 3 3 TUBS $6.00 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 36.00 5 SINKS LAVS/BASINS,BAR,FLOOR, KITCHEN,LAUNDRY,UTILITY, $6.00 JANITOR,PHOTO,X-RAY,FOOD, PREP/CULINARY/MEAT 6 DISHWASHER $6.00 B 7 CLOTHES WASHER $6.00 6 GARBAGE DISPOSAL $6.00 9 WATER SOFTENER 36.00 B 10ELECTRIC HOT WATER TANK NOTE IF GAS,SEE MECHANICAL 1 $6.00 B 11 FLOOR DRAINS AREA,CASE,COIL TRENCH, 36.00 II CONDENSATE • ROOF DRAINS/OVERFLOW DRAINSI 36.00 = FOUNTAINS,DRINKING $6.00 = WATER PIPING/DRAIN-IN WASTE, INSTALLATION,ALTERATION, 36.00 t)'p • VENT, PLUMBING,REVERSAL REPAIR,REVERSALS I ` " SEWAGE EJECTOR INSTALLATION, SUMP PUMP $6.00 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB,STEAMER,PROOFER, I $6.00 CARBONATOR,SWAMP COOLER CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND R.P.B.P.D.FOR: $6.00 VATS,TANKS,BOILERS INTERCEPTORS GREASE TRAP,SAND TRAP, I $6.00 II CHEMICAL HOLDING TANK MEDICAL GAS(per outlet) NITROUS,OXYGEN © $6.00 B 20 MISCELLANEOUS PLUMBING FIXTURE © $6.00 IN METHOD OF PAYMENT: SUBTOTAL 0 CASH U CHECK Q VISA Q MASTERCARD PROCESSING FEE $35.00 DATE EXPIRES: TOTAL PERMIT FEE DUE: IN• 0� BANKCARD NUMBER: AUTHORIZED SIGNATURE: