Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1996, 05-15 Permit App: 96003427 Plumbing Fixtures
PLUMBING PERMIT APPLICATION PROJECT ADDRESS: OWNER: irtir L co 1,2/FR MAILING ADDRESS:S, 5o 3 ,56 ZE 0 /...9 171 (street) CONTRACTOR: PHONE: DAYTIME CONTACT 4..t 5P°/ii/?N L,WV, (city/state) LICENSE: PHONE: MAILING ADDRESS: (street) (city/state) (zip) Tet. No. (509) 456-3675 • Fax No. (509) 324-3198 8 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. 1/24951mereAploopenakd PLUMBING FIXTURES DESCRIPTION • ETAI # OF UNITS MULTI— mato wr COST /UNIT nQUALS AMOUNT ;thl TOILETS WATER CLOSETS, BIDETS - / x x 56 56 = = 5 $ tgil URINALS 1364 TUBS BATH, JACUZZI, SPA. GARDEN i x 56 = $ 1305 SHOWERS (per trap) 13ASF., STALI, ON—SITE BUILD x 56 = $ BOO SINKS LAVS/BASINS, BAR, FLOOR, KffCEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X—RAY, FOOD (PREP)CULINARY/MEM) 2 x 56 = $ B07 DISHWASHER - x 56 = $ B08 CLOTHES WASHER - / x x $6 56 = = $ $ 1309 GARBAGE DISPOSAUGRINDER - SOFTENER - x $6 = $ .:WATER OLI; ELECTRIC HOT (./ATER TANKS (NOTE: if gas water tank, see mechm.cai) / x x 56 $6 = = 5 $ 1312 FLOOR DRAINS AREA, CASE, COIL, TRENCH. CONDENSATE B13 ROOF DRAINS/OVERFLOW DRAINS (ea.) - x 56 = $ B14 FOUNTAINS, DRINKING - x $6 = $ 1315 WATER PIPING/DRAIN-WASTE-VENT/ PLUMBING REVERSALS iNsTAIIATION, ALTERATION, REPAIR. REVERSALS x $6 = $ B16 SEWAGE EJECTORS GRINDER, SUMP PUMP x $6 = $ B17 WATER USING DEVICES ICE AND/OR COFFEE MAICER. HOSE BIB, STEAMER, ?ROOFER. CAR130NATOR, SWAMP COOLERS x $6 = $ :.;...'.1.' iii4 CROSS -CONNECTION DEVICES VACUUM BREAKER, CHECK VALVE, AND R.P.B.PD. FOR: VATS, SUMPS, TANKS BOILERS, & SPRINKLER SYSTEMS • x 56 = 5 .:;:,..4- '01,9 INTERCEPTORS GREASE TRAP, SAND TRAP. CHEMICAL HOLDING TANK x 56 = 5 ..,:., B20 MEDICAL GAS (per outlet/bottle station) NITROUS. OXYGEN x 56 = $ Ee/.1 MISCELLANEOUS FIXTURES x $6 = 5 Spokane mom NOTE: MINIMUMPERMITFEEIS$35.00 SIGNATURE: fair ./... er-----L--- -.7 Subtotal PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ County Division of Buildings liar lirnarhany Avotnnet • Snnlrane_ INA 99260 ktV.X•g:m'Alt0-tilge.**,4,PAYABLE ' iciciitAiikcpiNti.(tt.0411t;t0qP:* Tet. No. (509) 456-3675 • Fax No. (509) 324-3198 8 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. 1/24951mereAploopenakd 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: o3 B s- 771 City:i7'/ 14/UE Zip: 7 r2© Parcel number (if known): PROJECT INFORMATION Dry Line Sewer? (Y/N) Owner's name: City/State:,S:p9 X32 4' Zip: 9'9 � o 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: M., 10 i SSUG Py r - (5 46 CONTRACTOR INFORMATION State contractor license number: E-PSEC QbTB Utilities installers permit number: Contractor (company name): 5E�5�i�1 ` NS i ;? CTI o I\) Business address: 509 S.—BC \SEI City/State: 5 PO V AN W pr Zip: c c -I 0D0 (p Phone: q D - O i S q INTERIOR PLUMBING ALTERATIONS? (yes/no) circle one Fill out the information in the table below if applicable** Contractor (if different from above): Phone:)�r„� ae� City/State/Zip: Business Address: :reversa.. ee;fn`or7i►aatton .s Orso. side FEE INFORMATION Sewer Connection: Number of Buildings f 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: dAlle,--/i/ Date: ‘.1-1 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 in the admission to, or treatment or employment in, its programs or activities. lr25/95c\,.ins-a44—.plt