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2004, 02-24 Permit App BLD-04-03616 Sewer Reversali`1AR 7,0 21:1011: 55 F R TO 9225118 '1ctrY .I ►Spokane Valley PROJECT ADDRESS: OWNER: PLUMPING PERMIT APPLICATION 9 3 o 3 E i3 to09 At' N •e.i 1 i m S cy✓ MAILING ADDRESS: F.•)it S)Ak PERMIT USE: PHONE (Daytime Contact): 926..o9(0 , /^1h i /c L• (street) CONTRACTOR: ANDERSON'S SHEET METAL HEATING & A.C. MAILING ADDRESS: E. 13903 Trent Ave. Spokane Valley, Washington 99216 (city/state) (Zip), LICENSE* ANDERSM158NZ PHONE#: (509) 928-0960 (street) • (city/state) (zp) DESCRIPTION -_ . _ - DETAILS'# Ofwow x COST. EpuALS AMOUNT 1 TOILETS WATER CLOSET-, BIDETS X 56 = 2 URINALS • X $6 = 3 TUBS - - X 56 ■ 4 SHOWERS (PER TRAP) BATH, STALL, ON -SITE BUILT X 56 6 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY/MEAT X $6 x 6 7 DISHWASHER X X $6 $s v . CLOTHES WASHER 8 GARBAGE DISPOSAL . X S6 = r$ WATER SOFTENER X ' ~ 10 ELEC HOT WATER TANK NOTE: IF GAS SEE MECHANICAL X $6 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, : CONDENSATE 12 FOUNTAINS, DRINKING X 56 13 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING REVERSAL INSTALLATION, ALTERATION, REPAIR, REVERSALS X se 14 SEWAGE EJECTOR GRINDER SUMP PUMP / X (Q !ca 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER X S6 16 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, SUMPS, TANKS, BOILERS - X $6 r 17 18 SPRINKLER SYSTEM X $25 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 58 = 19 MEDICAL GAS per outjet NITROUS, OXYGEN X $6 . 20 MISC PLUMBING FIXTURE - X $6 p CASH Ej clircz ■ PA-1'En PEP - .=on I] 2-.,-`• , SUBTOTAL PLUS PROCESSING FEE 4)35.00 TS volLI., ONLY e2 ACC:YTFX mrm PAY).?ENT OP A ORx 11)1T CAA) TOTAL PERMIT FEE DUE y/, °o DA 1T:: RANK(:'.fir) NUR1LEK: A1Trt3OR!ZED S:GNATLCRE: PXP11(1: :