2013, 04-11 Permit App: BLD-2013-0613 Plumbing FixturesApr 10 13 08:53a Norm's Excavating, Inc
Permit Center
Tgne 11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688 -0036 FAX: (509)688 -0037
Community Development wuw.spokanevallev,org.com
Plumbing Permit Application [
Mail or Fax To:
Norm's Excavating, Inc.
P.O Box 30873
Spokane. WA 99223
Fax: 509/448 -4906
Finail TinaGT.nnrmcPYravatinn rnm
509 - 448 -4906
p.2
PERMIT NUMBER:
PERMIT FEE: / �=
Commercial M Residential
SITE ADDRESS: _18614 E Baldwin
Building owner
DESCRIPTION OF WORK
Name: Cornell
Phone: 844 -7329
Fax:
Address: SAME
City: Static:
Zip:
Contractor
WATER CLOSET. BIDETS
Name: Norm's Excavatina, Inc
Phone: 509/928 -0580
Fax: 5091448 -4906
Address: PO Box 30873
City : Spokane State: WA
Zip: 99223
License No: NORMSEI97213M
City Business License No:
X
Contact
=
Name: Tina Lingo
Phone: 928 -0580
AUTHORIZED SIGNATURE:
REVISED 1126/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET. BIDETS
X
$6.00
2
URINALS
X
56.00
=
3
TUBS
X
56.00
=
4
SHOWERS PER TRAP)
BATH, STALL, ON -SITE BUILT
X
36.00
=
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
S6.00
=
8
GARBAGE DISPOSAL
X
56.00
=
9
WATER SOFTENER
X
56.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
36.00
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
36.00
12
ROOF DRAINS/OVERFLOW
DRAINS
X
56.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING /DRAIN -IN WASTE,
VENT. PLUMBING, REVERSAL
NSTALLATION. ALTERATION, REPAIR,
REVERSALS
X
56.00
=
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
56.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D, FOR: VATS, TANKS, BOILERS
X
$6.00
18
INTERCEPTORS
GREASE TRAP. SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
=
19
MEDICAL GAS (per outlet)
NITROUS. OXYGEN
X
56.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
56.00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
520.00
INDUSTRIAL WASTE
22 INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH 0 CHECK
Card# See fax cover
SUBTOTAL
6.00
21 VISA ❑ MASTERCARD
PROCESSING FEE
8.00
EXPIRES:
TOTAL PERMJT FEE DUE:
14.00
AUTHORIZED SIGNATURE:
REVISED 1126/05