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1993, 11-10 Permit App: 93010944 Plumbing Fixtures
1 -1/52 -ti c(©3 (?)ig PLUMBING YER T APPLICATION 9,3 -/bq OWNER: L ° MAILING ADDRESS: CONTRACTOR: (street) PHONE: C;(2 - q28 - an -L' 6767.26 state) (zip) LICENSE: PHONE: MAILING ADDRESS: (street) (city/state) SIGNATURE: ><1 SPOKANE COUNTY DIVISION OF BUILDINGS WEST 1026 BROADWAY AVENUE • SPOKANE, WA 99260 • (509) 456-3675 PLUMBING FIXTURES DESCRIPTION • DETAIL # OF UNITS MULTI- nmpsy COST /UNIT EQUALS AMOUNT '$ TOILETS WATER CLOSETS, BIDETS / X $6 = $ (,. , ao B ' - x $6 = $ 'TUBS BATH, JACUZZI, SPA, GARDEN / X $6 = $ (,, 00 SHOWERS (per trap) BASE, STALL, ON—SITE BUILD X $6 = i SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X—RAY, FOOD (PREP/CULINARY/MEAT) / X $6 = $ ‘:' . CY) ... ..,, DISHWASHER - x $6 = $ :' I CLOTHES WASHER - x = $ Ip_. 00 4, GARBAGE DISPOSAL/GRINDER - x $6 = $ , . 1 WATER SOFTENER - x $6 = ELECTRIC HOT WATER TANKS (NOTE: if gas water tank, see mechanical) X $6 = $ . FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6 = $ , �. . ROOF DRAINS/OVERFLOW DRAINS (ea.) - x $6 = $ - 'FOUNTAINS, DRINKING - x $6 = $ INSTALLATION, ALTERATION OR REPAIR X $6 = WATERPIPING/DRAIN-WASTE-VENT Bi i4 SEWAGE EJECTORS GRINDER, SUMP PUMP x $6 = $ . . WATER USING DEVICES ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLERS X $6 = BI CROSS -CONNECTION DEVICES VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, SUMPS, TANICS, BOILERS, & SPRINKLER SYSTEMS X $6 = 1NTERCEFORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 = • DI AS (per outlet/bottle station) MISCELLANEOUS FIXTURES NITROUS, OXYGEN 41AAnaliA An_ x x $6 $6 = = $ !i-, , Q 0 .. NOTE: MINIMUM PERMIT FEE IS $35.00 n . Subtotal ta0 PLUS: PROCESSING FEE 25 .00 TOTAL PERMIT FEE DUE $ Eis.,,, SIGNATURE: ><1 SPOKANE COUNTY DIVISION OF BUILDINGS WEST 1026 BROADWAY AVENUE • SPOKANE, WA 99260 • (509) 456-3675