1995, 03-20 Permit App: 97001522 RemodelPLUMBING PERMIT APPLICATION
• •
PROJECT ADDRESS:
OWNER:
PHONE: DAYTIME CONTACT
MAILING ADDRESS: / ,fr/7
CONTRACTOR:
street
(city/state) (zip)
LICENSE:
PHONE: ?,..0
MAILING ADDRESS:
-5-7--"
(street)
(city/state)
(zip)
Tel. No. (509) 456-3675 • Fax No. (509) 324-3198 • 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.
I /26/95 kaorrIpiwope nab Ed
PLUMBING
DESCRIPTION
FIXTURES
DETAIL
# OF
UNITS
UL11—
PLIED BY
COST
/UNIT
istuAL: AMOUNT
il02 TOILETS
WATER CLOSETS, BIDETS
i
x
56
=
$ 6. Ocs
[PO URINALS
-
x
56
=
B04 BS
BATH. JACUZZI, SPA, GARDEN
X
$6
=
BUS SHOWERS (per trap)
BASE, STALL ON—SITE BUILD
/
X
$6
=
$ C.
B06 SINKS
LAVS/BASINS BAR FLOOR, KITCHEN,
IAUNDRY, tYPILITY, JANITOR, PHOTO,
X—RAY, FOOD (PREP/CULINARY/MEAT)
/
x
56
=
.eo
$ 6.0 so
B07 DISHWASHER
x
56
=
I308 CLOTHES WASHER
x
$6
=
$
809 GARBAGE DISPOSAL/GRINDER
x
56
=
BI0 WATER SOI. I ENER
x
$6
=
$
1311 ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank, see mechanical)
X
56
-
$
1312 FLOOR DRAINS
AREA, CASE, COIL TRENCH, CONDENSATE
X
56
=
$
B13 ROOF DRAINS/OVERFLOW DRAINS (ea.)
X
$6
. . .
B14 FOUNTAINS, DRINKING
x
$6
Ilt1.5 WATER PIPING/DRAIN-WASTE-VENT/
PLUMBING REVERSALS
INsTALLATioN. ALTERATION, REPAIR,
REVERSALS
x
56
=
$
B16 SEWAGE EJECTORS
GRINDER, SUMP PUMP
x
56
BI7 WATER USING DEVICES
ICE AND/OR COFFEE MAICER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR. SWAMP COOLERS
x
56
$
B CROSS—CONNECTION DEVICES
_:.
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, SUMPS,
TANKS, BOILERS, & SPRINKLER SYSTEMS
X
56
=
B19 INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56
=
$
B20 MED!CAL GAS (per outlet/bottle station)
NITROUS, OXYGEN
x
$6
=
$
B21 MISCELIANEOUS FIXTURES
x
$6
=
SIGNATURE:
Spokane
1026
Subtotal
NOTE: MINIMUMPERMIT PE
1 /
IS $35.00
PLUS: PROCESSING FEB
,;285.g
ef..‹..,
TOTAL PERMIT FEE DUE
$ -NR:t,:lo
County Division of Buildings
W. Broadway Avenue * Spokane, WA 99260
PLEASE MAKE CHECKS PAYABLE
SPOKANE COUNTY PERMIT
TO
CENTER
Tel. No. (509) 456-3675 • Fax No. (509) 324-3198 • 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.
I /26/95 kaorrIpiwope nab Ed
Se)11
'What is the JOB SITE address?
L)Itc-,-c A, ,r /-`,i)i->
APPLICATION INFORMATION ! 7) • (`_
Legal description as it appears on the property deed
OWNER or OCC tJ AN
Who should we contact regarding this project?
ASSESSOR'S tax parcel number?
- /�'�- s 9� 9
Phone
City, sta e
r� G
Phone
What work is being done under this permit? I1471e-PoR- RErnoaaL_.
Mo'4ING akTNRoon WALL, RE?Lgc>r FWoR)Nci wrr4 PLywoop t=f-oo(L)'SF4gt'1"nI)N5
VALvtE '1/SOo.00
Lone
Water district
Inspector district
Property size
8o
4,.5-
Right of way width
Building
Contractor
Building height
# of stories
WA State Contractor license #
Mailing address
Dimensions
TOTAL SQUARE FOOTAGE
Main floor area
Unfinished basement area
Architect/Engineer
2nd floor area
Finished basement area
What is the heat source?
Garage area
Size of decks, etc.
What is the cost of your project?
Manufactured Home
Width:
Year:
Sign
Length:
What is the square footage of
the sign face?
Installer
Make:
'How high is the sign?
Wa State Contractor license #
Mailing address
Contractor
Wa State Contractor license #
Mailing address
Relocation
Previous address
Fire Safety
Contractor
Fire Sprinkler
Tent
Paint booth _ Fire Alarm Fireworks display
VALUE
WA State Contractor license #
Mailing address
Contractor
WA State Contractor license #
Mailing address
Fuel Storage Tanks
Swimming Pool
1
(Circle one) Above -ground Underground
Contents of tank(s)
Contractor
'Size / gallons
Size / gallons
Private
Wa State Contractor license #
Mailing address
Contractor
Public/semi-private
WA State Contractor license #
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.