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:
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