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1994, 08-11 Permit App: 94007712 Plumbing Fixtures
PLUMBING PERMIT APPLICATION E -(1--1c112_ PROJECT ADDRESS: A/ OWNER: MAILING ADDRESS: c kis PHONE: g 2 - 73 7� CONTRACTOR: (street) (city/state) (Zip) MAILING ADDRESS: 7510 Nim -g164 - (street) LICENSE: 5w4P°pc] t9 q PHONE: /11 (city/state) (Zip) Tcl. No. (509) 456-3675 * Fax No. (509) 456-4703 * TDD No. (509) 324-3166 \ MAST ER\PUJ?AP ERM.HND PLUMBING FIXTURES DESCRIPTION DETAIL # OF UNITS ►nnn- PLIED BY COST /UNIT BQUALS AMOUNT B02 TOILETS WATER CLOSETS, BIDETS x $6 = $ B03 URINALS — x $6 = $ B04 TUBS BATH, JACUZZI, SPA. GARDEN X $6 = $ B05 SHOWERS (per trap) BASE, STALL, ON—SITE BUILD x $6 = $ B06 SINKS LAVSBASINS,BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X—RAY, FOOD (PREP/CULINARY/MEAT) % 1 x $6 = $ 6��% B07 DISHWASHER — i x $6 = $ 60-, B08 CLOTHES WASHER — x $6 = $ B09 GARBAGE DISPOSAL/GRINDER — X $6 = $ B10 WATER SOFTENER — x $6 = $ B11 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see mechanical) X $6 = $ B12 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE x $6 = $ B13 ROOF DRAINS/OVERFLOW DRAINS (ea.) — x $6 = $ B14 FOUNTAINS, DRINKING — x $6 = $ B15 WATER PIPING/DRAIN—WASTE—VENT/ PLUMBING REVERSALS INSTALLATION, ALTERATION, REPAIR, REVERSALS x $6 = $ B16 SEWAGE EJECTORS GRINDER, SUMP PUMP X $6 = $ B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, HOSE BIB. STEAMER, PROOFER, CARBONATOR, SWAMP COOLERS X $6 = $ B18 CROSS—CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, AND R.P.B.P.D. FOR: VATS SUMPS, TANKS, BOILERS, & SPRINKLER SYSTEMS X $6 = $ B19 INTERCEPTORS GREASE TRAP. SAND TRAP, CHEMICAL HOLDING TANK X $6 = $ B20 MEDICAL GAS (per outlet/bottle station) NITROUS, OXYGEN X $6 = $ B21 MISCELLANEOUS FIXTURES x $6 = $ Spokane 1026 NOTE: MINIMUMPERMIT FEE IS $35.00 SIGNATURE: i ,,,, - Subtotal /pl. °'' PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE S 3 2 0 County Division of Buildings W_ Broadway Avenue * Spokane. WA 99260 PLEASE MAKE CHECKS PAYABLE TO. SPOKANE COUNTY PERMIT CENTER Tcl. No. (509) 456-3675 * Fax No. (509) 456-4703 * TDD No. (509) 324-3166 \ MAST ER\PUJ?AP ERM.HND