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2004, 10-05 Permit App: BLD-04-07849 Plumbing Reversal
• Oki 2 INC/1 PLUMBING PERMIT APPLICATION SIM afialiOdille\mak ' city of Spokane Valley Community Development Department BuildrngDivision �� I t 707 E.Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Phone: (509)688-0036;Fax: (509)688-0037 FOR INSPECTIONS,CALL(509)688-0054 Project Address: / 2-7 Z.,V 2-, 11 Permit Use: Owner: 6(,) 19 `ill 1—S d hJ Phone (Daytime Contact): ' Mailing Address: /2,7 2-7' C , ?S©.40r5i�L, CitY State Zip Code ContractorI'/ ,r,c 7;4z. License#: ( 2aer gt1Phone#: 2---i7Z1 Mailing Address: - . ‹.e. . ,. ('22 City State Zip ode #OF. TOTAL DESCRIPTION OF WORK UNITS X COST - AMOUNT 1 1 TOILETS WATER CLOSET,BIDETS _X $6.00 = 2 URINALS X $6.00 1 3 TUBS X $6.00 IS 4 SHOWERS(PER TRAP) BATH,STALL,ONSITE BUILT X $6.00 III 5 SINKS LAW/BASINS,BAR FLOOR, IOTCHEN,LAUNDRY,UTILITY, X $6.00 JANITOR.PHOTO,X-RAY,FOOD, PREP/CULINARY/MEAT 6 DISHWASHER X $6.00 7 CLOTHES WASHER X $6.00 8 GARBAGE DISPOSAL , X $8.00 111 . 9 WATER SOFTENER X $6.00 111 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,DRINKINGX $8.00 14 WATER PIPING/DRAIN-IN , INSTALLATION.ALTERATION, $6A0 ) VENT, LIIMBINGs,REVERSAL REPAIR,REVERSALS 15 SEWAGE 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,ANDR.PB.P.D.FOR. X $6.00 VATS,TANKS,BOILERS 18 INTERCEPTORS GREASE TRAP,SAND TRAP, X $6.00 II CHEMICAL HOLDING TANK 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 E , 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 II • METHOD OF PAYMENT: SUBTOTAL ❑ CASH 0 CHECK Q VISA Q MASTERCARD PROCESSING FEE $35.00 DATE: EXPIRES: TOTAL PERMIT FEE DUE: BANKCARD NUMBER: AUTHORIZED SIGNATURE: