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2012, 03-01 Permit App: BLD-2012-0082 Plumbing Fixtures��lley ne Community Development Plumbing Permit Permit Center 11707 E Sprague Ave, Suite 106 Spokanc Valley, WA 99206 (509)688-0036 FAX (509)688-0037 n3« ..5pD anevaiIcr-acorn pplication Mail or Fax To: Norm's Excavating, Inc. E Q 9 9 '0N PO Box 574 Veradale, WA 99037 Fax: 892-0432 Wd�ti 6 Zloz 1wll p1Aipq 61-64— 20/Z - 0092 PERMIT NUMBER: PERMIT FEE: ❑ Commercial ® Residential SITE ADDRESS: 7102 E Bridgeport Building owner Name: Davis Phone: 638-3261 Fax: Address: SAME City: State: Zip: Contractor 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: NORMSE1972B1V City Business License No: Contact Name: Sheila Gibbons Phone: 928-0580 DESCRIPTION OF WORK # OF UNITS X COST TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 1 X 56.00 6.00 2 URINALS X $6.00 3 TUBS x $6.00 4 SHOWERS (PER TRAP' BATH, STALL, ON-SITE BUILT 1 X 56.00 6.00 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT 1 X 56.00 6.00 6 DISHWASHER X $6.00 7 CLOTHES WASHER X 56.00 B GARBAGE DISPOSAL X 56.00 9 WATER SOFTENER X 56.00 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X 58.00 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X 56.00 12 ROOF DRAINS/OVERFI OW DRAINS X 56.00 13 FOUNTAINS, DRINKINC X 56.00 14 WATER PIPING/DRAIN- N WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS 1 X 56.00 6.00 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X 56.00 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER X $6.00 17 CROSS CONNECTION •)EVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X $6.00 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 56.00 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X 56.00 20 MISCELLANEOUS PLUMBING FIXTURE X 56.00 21 PRIVATE SEWAGE D1S )OSAL/SYS X 520.00 22 INDUSTRIAL WASTE INTERCEPTOR X 515.00 METHOD OF PAYMENT: ❑ CASH 0 CHECK Card# See Fax cover AUTHORIZED SIGNATURE: G•d E VISA 0 MASTERCARD EXPIRES: 03/2012 2F17112RRRfG SUBTOTAL 24.00 PROCESSING FEE TOTAL PERMIT FEE DUE: 24.00 REVISED 8/26'05 2u x a.eneoxa swwoIJ enz : n i 21 In Jew