2004, 04-07 Permit App: BLD-04-04000 PlumbingEXTRA PAGE. 001
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CImvoF Mail or Fax To: Norm's Excavating
PO sox 574
veradale, WA 99037
FAX: 892-0432
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PROJECT
PERMIT
ADDRESS: T O
USE:
OWNER; 40 L
PHONE (Daytime Contact):
MAULING ADDRESS: SAME
AMO MT
street
Cit /state(zip)
CONTRACTO •
LICENSE V:
Belknap Plumbing
BELKNP*071D6
MAILING ADDRESS:
PHONE 9:
21
921-5913
3414 S. Adams Rd. Verdale, WA 99037
street
(cit/state)
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❑ CASH ❑ aiECK ® „ ❑ '
PA)= mpban VML ONLY DE PAYMbrr
OP A W40RCRADM CA&D
11/. /- -I
PLUS PROCESSING $35,00
FEE
TOTAL PERMIT FEE
nIIF
^DETAILS
ummr
X
COST
EQUALS
AMO MT
1 ITOILETS
WATER CLOSET, BIDETS
t
X
$6
r 00
21
URINALS
X
$6
S
TUBS
X
$6
4
SHOWERS PER TRAP
BATH, STALL, ONSITE BUILT
X
56
5
SINKS
LAVSlBASINS, BAR, FLOOR,
X
KITCHEN, LAUNDRY, UTILITY,
/
(J
JANITOR, PHOTO, X41AY, FOOD,
`
PREP/CULINARY/MEAT
6
DISHWASHER
X
$6
7
CLOTHES WASHER
X
8
GARBAGE DISPOSAL
X
$6
9
WATER SOFTENER
X
$6
10
ELEC HOT WATER TANK
MOTE: IF GAS SEE MECHANICAL
X
$6
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH.
$e
CONDENSATE
X
12
FOUNTAINS, DRINKING
X
$6
13
WATER PIPINGIDRAIN4N
INSTALLATION, ALTERATION,
X
56
WASTE, VENT,
REPAIR, REVERSALS
V
PLUMBING REVERSAL
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER,
X
$6
HOSE BIB, STEAMER, PROOFER.
CARBONATOR, SWAMP COOLER
1
CROSS CONNECTION
VACUUM BREAKER, CHECK
X
$6
DEVICE
VALVE, AND R.P.B.P.D. FOR:
VATS, SUMPS, TANKS, BOILERS
17
SP NKLER SYSTEM
X
$25
18INTERCEPTORS
GREASE TRAP, SAND TRAP,
56
CHEMICAL HOLDING TANK
X
/9
I MEDICAL GAS er outlet
NITROUS, OXYGEN
X
J$662C
MISC PLUMBINGFIXTURE
X
CI ICT�'1TA1
- —
_0
❑ CASH ❑ aiECK ® „ ❑ '
PA)= mpban VML ONLY DE PAYMbrr
OP A W40RCRADM CA&D
11/. /- -I
PLUS PROCESSING $35,00
FEE
TOTAL PERMIT FEE
nIIF