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2004, 02-27 Permit App BLD-04-03642 Plumbing FixturesPROJECT ADDRESS: OWNER: MAILING ADDRESS: Vailey Ctyv PLUMBING PERMIT APPLICATION PERMIT USE PHONE (Daytime Contact): • CONTRACTOR: 3 © s •.i ( street MAILING ADDRESS: it gf7 g ucate.yoy street I CI /state UCENSE S PHONE#: 896 •SvoKan-, taa • /state • giao4 PLUMING- FIXTURESill WWIICO DESCRIPTION OEMS EQVALS AMOIlM NS TOILETS WATER CLOSET, BIDETS EI NS n ,i %II III IIII Eumwmomalow op SHOWERS - ER TRAP BATH. STALL, ON -SITE BUILT ©� L er 5 L NG 10 SINKS 12 DISHWASHER 13 CLOTHES WASHER GARBAGE DISPOSAL WATER SOFTENER 14 LAVS/BASINS, BAR, FLOOR, KITCHEN. LAUNDRY, UTILITY, JANITOR. PHOTO, X-RAY, FOOD, PREPICUUNARY/MEAT ELEC HOT WATER TANK NOTE: IF GAS SEE MECHANICAL. 15 FLOOR DRAINS FOUNTAINS DRINKING AREA, CASE, COIL, TRENCH, CONDENSATE WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION, WASTE, VENT,' EVERSALS PLUMBING REVERSAI- 16 17 SEWAGE EJECTOR GRINDER. SUMP PUMP WATER USING DEVICE ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLER 18 19 20 CROSS CONNECTION DEVICE SPRINKLER SYSTEM INTERCEPTORS • VACUUM BREAKER, CHECK VALVE. AND R.P.B.P.D. FOR VATS, SUMPS, TANKS. BOILERS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK MEDICAL GAS per outlet NITROUS, OXYGEN MISC PLUMBING FDCTURE CASH p CHEC C [7 i>at �.. . FAXED PEEWEE vat °Nt.'s as acanmEn writ wenierrr t nvat°NLYasACEDwritwenierrr OFAMAJOR CREDITCARD DAZE: EXPIRES: 5311111111111011111113111111 El IMMO WI 110111111111111011111111011111 emus MIN lasimum SUBTOTAL PLUS PROCESSING FEE • TOTAL PERMIT FEE DUE $35.00 - .,.....�,.,..a�_