2012, 04-04 Permit App: BLD-2012-0294 PipingApr 04 12 11:22a
Norms Excavating
Permit Center
11707E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development wlvw.spakancvallcy.org corn
Plumbing Permit Application
5098920432
Mall or Fax To:
Norm's Exmvaling, Inc.
PO Box 574
Veradale, WA 99037
Fax: 892-0432
p.2
,LD -2O/2 —441'
PERMIT NUMBER:
PERMITI.Eb: dir./V, to
El Commercial [2:1 Residential
S1TE ADDRESS: 12516/18 E Boone
13nilding owner
DESCRIPTION OF WORK
Name: McGilway Phone: 891-8347 Fax:
X
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:
(71,,,/60•
Received Time Apr, 4. 2012 11:46AM No. 7035
REVISED 8/26105
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
56.00
=
2
URINALS
X
56.00
=
3
TUBS
X
56.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
5.6.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREMULINARY MEAT
X
56.00
6
DISHWASHER
X
56.00
=
7
CLOTHES WASHER
X
$6.00
=
8
GARBAGE DISPOSAL
X
56.00
=
9
WATER SOFTENER
X
$6.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL.
X
56.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
58.00
=
13
FOUNTAINS, DRINKING
X
58.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLAT1ON, ALTERATION, REPAIR,
REVERSALS
1
X
56.00
=
6.00
15
SEWAGEEJECTOR
GRINDER, SUMP PUMP
X
£6.00
=
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
56.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
£6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
56.00
21
PRIVATE SEWAGE DISPOSALJSYS
X
520.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
515.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK
Cards See Cover Sheet
SUBTOTAL
6.00
El VISA 0 MASTERCARD
PROCESSING FEE
8.00
EXP 'RES:
TOTAL. PERMIT FEB DUE:
14.00
AUTHORIZED SIGNATURE:
(71,,,/60•
Received Time Apr, 4. 2012 11:46AM No. 7035
REVISED 8/26105