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2012, 09-25 Permit App: BLD-2012-1657 Plumbing Fixtures
Valley Community Development Plumbing Permit Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spnlonevallcv.urn.com ❑ Application Mall sExcav Nall or Fax To:: 8600'°N WVL0:6 6l0 :S6 :"S awil paA!nq Norm's Inc. PO Box 574 Veradale, WA 99037 Fax 892-0432 Commercial [n 7C\C& jCp5 7 PERMIT NUMBER: PERMIT FEE: Residential SITE ADDRESS: _4705 N Best Building owner DESCRIPTION OF WORK A OF UNITS Name: Bean Phone: 891-2730 Fax: TOTAL AMOUNT Address: SAME TOILETS City. State: Zip: Contractor 56.00 = 6.00 Name: Norm's Excavating, Inc URINALS Phone: 509/928-0580 Fax: 509/892-0432 Address: PO Box 574 $6.00 City: Veradale State: WA Zip: 99037 License No: NORMSEI972BM TUBS City Business License No: Contact $6.00 Name: Sheila Gibbons SHOWERS (PER TRAP) Phone: 928-0580 1 AUTHORIZED SIGNATURE: - ---- �" •l.,44- 2617026860S u neneox3 SWJOi.J REVISED 6/2605 BES:80 2T S2 des DESCRIPTION OF WORK A OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 1 X 56.00 = 6.00 2 URINALS X $6.00 = 3 TUBS X $6.00 4 SHOWERS (PER TRAP) BATH. STALL, ON-SITE BUILT 1 X 56.00 = 6.00 5 SINKS LAVS/BASINS, BAR, FLOOR. KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT 1 X $6.00 = 6.00 6 DISHWASHER X 56.00 = 7 CLOTHES WASHER X $6.00 = 8 GARBAGE DISPOSAL X $6.00 = 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS. SEE MECHANICAL X 58.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS - X 56.00 = 13 FOUNTAINS DRINKING X 56.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS 1 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 DISPOSAUSYS X 520.00 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK ® VISA 0 MASTERCARD roma s:Pn rewar sxPPI EXPIRES: SUBTOTAL 24.00 PROCESSING FEE 8.00 TOTAL PERMIT FEE DUE: 32.00 AUTHORIZED SIGNATURE: - ---- �" •l.,44- 2617026860S u neneox3 SWJOi.J REVISED 6/2605 BES:80 2T S2 des