2012, 09-05 Permit App: BLD-2012-1490 PipingPermit Center
Spokane 11707 E Sprague Ave, Suite 106
...0000Valley
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development �,;..,,,.,,,I;;�c•.4rn.nr_ .fie
Plumbing Permit Application [
Mail or Fax To:r7 0
Norm's Excavating, Inc. 7 Z L 6 N
PO Box 574
Veradale, WA 99037
Fax 092-0432
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PERMIT NUMBER: 81,1 -f z
PERMIT FEE: /
Commercial IXI Residential
SITE ADDRESS: _1108 S Calvin
Building owner
DESCRIPTION OF WORK
Name: Schwann
Phone: 924-8756 Fax:
COST
Address: SAME
City. State:
Zip:
Contractor
WATER CLOSET, BIDETS
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: NORMSEI972BM
City Business License No:
X
Contact
=
Name: Sheila Gibbons
Phone: 928-0580
AUTHORIZED SIGNATURE:
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REVISED 8/26/05
DESCRIPTION OF WORK
*OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
56.00
=
3
TUBS
X
WOO
4
SHOWERS (PER TRAP)
BATH, STALL, ONSITE BUILT
X
56.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
58.00
=
6
DISHWASHER
X
56.00
=
7
CLOTHES WASHER
X
56'00
=
8
GARBAGE DISPOSAL
X
56.00
=
9
WATER SOFTENER
X
56.E
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
56.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
56.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$6.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING. REVERSAL
NSTAU ATION, ALTERATION, REPAIR,
REVERSALS
1
X
58.00
=
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
56.00
-
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
56.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
56.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
520.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X _
$15.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK ® VISA 0 MASTERCARD
C:arrht Spe Craver Sheet EXPIRES:
SUBTOTAL
6.00
PROCESSING FEE
8.00
TOTAL PERMIT FEE DUE:
14.00
AUTHORIZED SIGNATURE:
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REVISED 8/26/05