HomeMy WebLinkAbout2012, 09-25 Permit App: BLD-2012-1662 Plumbing FixturePermit Center
Spokane 11707 E Sprague Ave, Suite 106
4.00•00\diley Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
Community Development wv,w.apokanevallev. on! .com
Plumbing Permit Application
Mail or Fax To: 6 2 0 0 0
Norm's Excavating, Inc. 0 VV
PO Box 574
Veradale, WA 99037
Fax: 892 -0432
11
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PERMIT NUMBER: Id- 12-
Commercial Vi Residential
PERMIT FEE: /
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SITE ADDRESS: 18722 E Alki
Building owner
DESCRIPTION OF WORK
Name: Davaz
Phone: 208 - 484 -4052 Fax:
COST
Address: SAME
City: State:
Zip:
Contractor
WATER CLOSET, BIDETS
Name: Norm's Excavating, Inc
Phone: 509/928 -0580
Fax: 509/892 -0432
Address: PO Box 574
City : Veradale State: WA
Zip: 99037
License No: NORMSEI972BM
City Business License No:
X
Contact
=
Name: Sheila Gibbons
Phone: 928 -0580
AUTHORIZED SIGNATURE:
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REVISED 8/26/05
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DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
66.00
=
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON -SITE BUILT
X
66.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X -RAY, FOOD, PREP /CULINARY MEAT
X
$6.00
—
6
DISHWASHER
X
$6.00
=
7
CLOTHES WASHER
X
66.00
=
8
GARBAGE DISPOSAL
X
$6.00
=
9
WATER SOFTENER
X
56.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
66.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
56.00
=
12
ROOF DRAINS /OVERFLOW
DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN -IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
1
X
$6.00
=
6.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
56.00
=
16
WATER USING DEVICE
ICE AN /OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X
$6.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P_D. FOR: VATS, TANKS. BOILERS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
X
$6.00
66.00
=
=
INTERCEPTORS
18
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK El VISA 0 MASTERCARD
Rnrrlit Aau C rsvar Sheet EXPIRES:
SUBTOTAL
6.00
PROCESSING FEE
8.00
TOTAL PERMIT FEE DUE:
14.00
AUTHORIZED SIGNATURE:
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REVISED 8/26/05
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