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HomeMy WebLinkAbout1992, 03-27 Permit App: 92001947 Sprinklers•. PLUMBING PERMIT APPLICATION FORM Information Worksheet / JOB STREET ADDRESS: S • aeoaeo CITY/STATE/ZIP: si20 OWNER: \CI,c.I Sirhon MAILING ADDRESS: I S 38oD. /$owdd (Street) 922olp PARCEL NUMBER: PHONE NUMBER: 9-217- 5' SSS CONTRACTOR: A-1/9 MAILING ADDRESS: /14 (City/State) LICENSE NUMBER: PHONE NUMBER: (Street) 1 (City/State) (Zip) PLUMBING WORKSHEET/FEE SCHEDULE DESCRIPTION TOILETS SINKS',::. ........................... ........................... ............................ SHOWERS BATH TUBS ..............................:...... KITCHEN SINKS .......................................... DISH WASHERS ...........................................:. GARBAGE DISPOSAL CLOTHES WASHER ..............................:.......................:. UTILITY SINKS ....................................................... ELECTRIC WATER HEATERS 1. FLOOR DRAINS ............................... .......................................... FLOOR; SINKS..,::: ......................................... BAR SINKS ROOF.DRAINS.: LAWN SPRINKLER - FOR EACH BACKFLOW DEVICE ...................................................... SEWAGE'EJECTOR ....................................................... WATER ATER SOFTENER URINAL............................. DRINKING FOUNTAIN NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE NUMBER OF UNITS X EACH UNIT = AMOUNT x 6.00 = x 6.00 = x 6.00 = x6.00 = x 6.00 = x 6.00 = x6.00 = x 6.00 = x6.00 = x6.00= x 6.00 = x 6.00 = x 6.00 = x6.00 = x 6.00 = x 6.00 = x 6.00 = x6.00 = x 6.00 = ( (Q , oo SUBTOTAL $ ,y.000 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = $ Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675