Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2003, 07-02 Permit App: BLD-03-02019 Plumbing Fixtures
SAart c 11707 East Sprague Avenue, Suite 106 509-688-0036 -Phone ane Spokane Valley,WA 99206 509-688-0037-Fax 40000 v�ey . Plumbing Permit Application PROJECT PERMIT ADDRESS: 2/l �� l USE: OWNER PHONE(Daytime Contact): MAILING DDRESS: /'�7 27 Gest ,,tie ,.s .7 . ._ cri-A44/i of 971 ...-;I 7326C/ (street) (city/state) (/1I') CONTRACTOR // � � LICENSE#: Q ,(� �e9C3�QG}hi4f�/t)� C-�cd,1J� C'/lt�tJ #:.,-= L/"CC. �L� `" 7 MAILING ADDRESS: PHONE#: i 9.S'/I c Slot.4- P /.e�A _ '0/4 (street) (city/state) (Z.W) 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 / fi 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 - B 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 .r..�. .___.r._.... REVERSAL / 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 R.P.B.P.D.FOR:VATS,TANKS,BOILERS X $6 -. 17 SPRINKLER SYSTEM X $25 - 16 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 - CHOD OF PAYMENT SUBTOTAL: `7r, o0 iiiiiiii PLUS PROCESSING FEE: $35.00 :ASH 0 CHECK 0 NOME 0 t__._._.L: • TOTAL PERMIT FEE DUE: 57, E: EXPIRES: KCARD NUMBER FIORIZED SIGNATURE: