Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1996, 04-01 Permit App: 96001948 Plumbing Reversal
PLUMBING PERMIT APPLICATION PROJECT ADDRESS: S t ©7 *`'t' 't- ) OWNER: .�+zQ,cQ R Ket- e-1 K-� Q•v►+.c o PHONE: DAYTIME CONTACT c/25--.2 g© 7 MAILING ADDRESS: S (,) tl4,.eeQ ..1Q �t . 4?a O3 (street) (city/state) CONTRACTOR: �' ,ff"it crA ef' MAILING ADDRESS: (0,5 Og (street) (zip) LICENSE: ..RCI M( Ct 1 Lo PHONE: 92_63 • 43 J 3 r1 c ci1\e-_ WA 921 city/state) (zip) Tel. No. (509) 456-3675 • Fax No. (509) 324-3198 • TDD No. (509) 324-3166 Spokane County does not discriminate on the basis of disability in the admission to. or treatment or employment in, its programs or activities. I/2695�rrryV/..aYr PLUMBING FIXTURES DESCRIPTION DETAIL it -OF UNITS maxi- nuoSY COST /UNIT mum.. AMOUNT B02 TOILETS WATER CLOSETS BIDETS X 56 = $ 1303. URINALS — x 56 = $ B04 TUBS BATH. JACUZZI, SPA. GARDEN x 56 = $ B05 SHOWERS (per trap) BASE, STALL, ON—SITE BUILD x S6 = $ BQ6 SINKS IAVS/BASINS, BAR FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR. PHOTO, X—RAY, FOOD (PREP/CULINARY/MEAT) x 56 = $ 13Q7 DISHWASHER — x 56 = $ **CLOTHES WASHER — x 56 = $ B09 GARBAGE DISPOSAL/GRINDER — x 56 = $ $10 WATER SOP l EN — x 56 = $ 311 ELECTRIC HOT WATER TANKS (NOTE: if ps water tank see mechaoeal) X 56 = $ 3.I2 FLOOR DRAINS AREA, CASE, COIL- TRENCH, CONDENSATE x 56 = $ 'BI3 ROOF DRAINS/OVERFLOW DRAINS (ea.) — x 56 = $ 134 FOUNTAINS, DRINKING — x 56 = $ WATER PIPING/DRAIN—WASTE—VENT/ PLUMBING REVERSALS INSTALLATION, AUTERATION, REPAIR, x 56 = $ "62, o f R.VVFRALS 1 13I6 SEWAGE EJECTORS x $6 = $ GRINDER SUMP PUMP $17 WATER USING DEVICES ICE AND/OR COFFEE MAKER HOSE BIB. STEAMER PROOF1.X. CARBON/00R. SWAMP COOLERS x $6 = $ 131$ CROSS—CONNECTION DEVICES VACUUM BREAKER, CLIECKVALVE, AND R.P.B.PD. FOR: VATS, SUMPS, TANKS, BOILERS. & SPRINKLER SYSTEMS x 56 = $ 1319 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK x 56 = $ B20 MEDICAL GAS (per outlet/bottle station) NITROUS, OXYGEN x 56 = $ B21 MISCELLANEOUS FIXTURES x $6 = $ Spokane 11126 FEE IS $35.00 Subtotal &i3OC NO1 E: MINIMUMPERMIT SIGNATURE: "7 b0 KL t i 4.°4 40 PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ ;35, County Division of Buildings W_ Rrnadwav Avenue • Spokane. WA 99260 PLEASE`MAKE CHECKS PAYABLE`TO SPOKANECOUNTY PERMIT CENTER Tel. No. (509) 456-3675 • Fax No. (509) 324-3198 • TDD No. (509) 324-3166 Spokane County does not discriminate on the basis of disability in the admission to. or treatment or employment in, its programs or activities. I/2695�rrryV/..aYr SEWER CONNECTION PERMIT APPLICATION FORM PLEASE NOTE: This application form must be filled out accurately and in its entirety, and signed, or a permit will not be issued. Also note that sewer permits are valid for 12 months from the date of issuance. No extensions will be granted. Job address: PROJECT INFORMATION Dry Line Sewer? (YIN) City: Zip: Parcel number (if known): Owner's name: City/State: Zip: Phone: First-time contractors or home -owners performing the installation must first contact the utilities department (in person or via phone [456-3604]) before a permit can be issued. Name of Utilities Division person contacted: CONTRACTOR INFORMATION Contractor (company name): Allied EY_Cuvc-hn9 Business address: �5. Gi 3' ' J (r e ecr can ,Qr . City/State: Med; c_61-1 L wA Zip: q q ©2,2 Phone: z q q -6c3 1 I State contractor license number: ALLr�G Utilities installers permit number: INTERIOR PLUMBING ALTERATIONS? (yes/no) circle one Fill out the information in the table below if applicable** Contractor (if different from above): Phone: <f 2 43. - 313'7 C° Gs -r,1 e Pte' M Business Address: • City/State/Zip: . 01 reversal fee infor»iativn see reversestde ofthis FEE INFORMATION Sewer Connection: Number of Buildings X (times) $50 (per bldg) = $ TOTAL FEE * One permit required for each separate building, shop, garage, etc., that will be connected to the sewer. * Condos, townhouses, & 2- 3- and 4 plexes require 1 permit per address/stub. * Multiple buildings (apartments, industrial complexes) require 1 permit per building. (For situations not covered here, call the County Utilities Division @ 456-3604) APPLICANT SIGNATURE: weceighaazi Date: Spokane County Division of Buildings West 1026 Broadway Avenue * Spokane, Washington 99260 PHONE: (509) 456-3675 * FAX: (509) 324-3198 * TDD: (509) 324-3166 Spokane County does not discriminate on the basis of disability to the admission to, or treatment or employment in, its programs or activities. 14 c\waw.rd\ ....r pa