Loading...
2003, 04-30 Permit: BD03-203 Plumbing Fixtures 1 C` %O1 11707 East Sprague Avenue,Suite 106 . ' 509-688-0036-Phone ►J'pU 11e Spokane Valley,WA 99206 509-688-0037-Fax .00Valley For Inspections, call 509-688-0054 Plumbing Permit Application 3c...._,.5 PROJECT PERMIT /.3 0 3 -. 703 ADDRESS: _ J�i1.7 3 26 USE: /e.U,o/'k.. /— OWNER: ( PHONE(Daytime Contact): 5J MAILING ADDRESS: (street) (city/state) (ZIP) CONTRACTOR: LICENSE#: MAILING ADDRESS: PHONE#: 2-51 -g,-Js- (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 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 $6 - REVERSAL / J 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 $6 - 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: METHOD OF PAYMENT VISA • Mas PLUS PROCESSING FEE: $35.00 ❑ CASH El CHECK ❑ ❑ L._._ ..._I`__ _ TOTAL PERMIT FEE DUE: Z.// 062 DATE: EXPIRES: BANKCARD NUMBER IJ A D AUTHORIZED SIGNATURE: P ,