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1994, 04-21 Permit App: 94003441 Plumbing FixturesPLUMBING PERMIT'APPLICATION q L ' 3 T zi/ PROJECT ADDRESS: �,f , / 0 A/A OWNER: PHONE: MAILING ADDRESS: CONTRACTOR: MAILING ADDRESS: %_` O (street) (city/state) (zip) LICENSE: 4///'1P- ( Y 7 J 62 PHONE: / 6) (street) (city/state) (zip) Tel. No. (509) 456-3675 * Fax No. (509) 456-7403 • TDD No. (509) 324-3166 WAS ER1PLUMPERM}1ND �q � PLUMBING FIXTURES DESCRIPTION DETAIL # OF UNITS mut„— PLIED BY COST /UNIT EQUALS AMOUNT B02 TOILETS WATER CLOSETS, BIDETS 2 x $6 = $ / Z B03 URINALS - x $6 = $ B04 TUBS BATH. JACUZZI, SPA, GARDEN 1 X $6 = $ $ B05 SHOWERS (per trap) BASE, STALL, ON—SITE BUILD I X $6 = $ 806 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X—RAY, FOOD (PREP/CULINARY/MEAT) x $6 = ,6. $ QQ ( 6L B07 DISHWASHER - x $6 = $ B08 CLOTHES WASHER - ( x $6 = $ M B09 GARBAGE DISPOSAL/GRINDER - x $6 = $ B10 WATER SOFTENER - x $6 = $ B11 ELECTRIC HOT WATER TANKS (NOTE if gas water tank, see mechanical) / x $6 = $ B12 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE x $6 = $ B13 ROOF DRAINS/OVERFLOW DRAINS (ea.) - x $6 = $ 814 FOUNTAINS, DRINKING - x $6 = $ B15 WATER PIPING/DRAIN- WASTE -VENT INSTALLATION, ALTERATION OR REPAIR X $6 = $ B16 SEWAGE EJECTORS GRINDER, SUMP PUMP x $6 = $ B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER. PROOFER, CARBONATOR, SWAMP COOLERS x $6 = $ B18 CROSS- CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, AND R.P.B.P.D. FOR: VATS, SUMPS, TANKS, BOILERS. & SPRINKLER SYSTEMS X $6 = $ B19INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK x $6 = $ B20 MEDICAL GAS (per outlet/bottle station) NITROUS, OXYGEN x $6 = $ B21 MISCELLANEOUS FIXTURES x $6 = $ Spokane 1026 NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE: Subtotal / 2 y ``` '3 PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE 401,1141e - County Division of Buildings W. Broadway Avenue • Spokane, WA 99260 PLEASE MAKE CHECKS PAYABLE TO: SPOKANE COUNTY PERMIT CENTER. Tel. No. (509) 456-3675 * Fax No. (509) 456-7403 • TDD No. (509) 324-3166 WAS ER1PLUMPERM}1ND �q �