Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2003, 08-27 Permit App: BLD-03-02332 Plumbing Reversal
►5art or 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone pOkane Spokane Valley,WA 99206 509-688-0037-Fax Walley For Inspections, call 509-688-0054 Plumbing Permit Application aLI3. OC3 2- PROJECT _ PROJECT �C l;�LTS (� ADDRESS: /,� j/ �. f� �L/ff�1�''� ci OWNER: L:0, �,4.� ! �(,�,_ j �� PHONE(Daytime Contact): MAILING ADDRESS: �t•--15 V`-1 6C, /04/Cn•s•.� J ....5/4,r-7 (street) (city/state) (ZIP) CONTRACTOR: LICENSE#: , c� -��z. . ! �J tJ1 E Gt4 J/ c /2/e? MAILING ADDRESS: PHONE#: y -S_y S" /7 2/ s <.5,0 A,L.,5 / -7-5.--,,,,,,,,,,,,L.),, ,,„,, s F-?ore; (street) (city/state) (ZIP) ' 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 LAYSBASINS,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 $6 - REVERSAL ,co 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - 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 X - R.P.B.P.D.FOR:VATS,TANKS,BOILERS 17 SPRINKLER SYSTEM X - $25 .. 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL _ HOLDING TANK X ' 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - • 20 MISC.PLUMBING FIXTURE X $6 - SUBTOTAL: • 4ETHOD OF PAYMENT (mrd}100101 ' • •Va5t '; PLUS PROCESSING FEE: $35.00 ] CASH ❑ CHECK ❑ NM= ❑ �_ ='."._ . TOTAL PERMIT FEE DUE: ,' fin >ATE: EXPIRES: ANKCARD NUMBER: UTHORIZED SIGNATURE: