2012, 02-27 Permit App: BLD-2012-0036 Plumbing FixturesFeb 21 12 10:26a Norms Excavating 5098920432 p.4
Mail or Fax To: 2 D I Z o c3 W
6. Norm's Excavating, Inc.
PO BOX 574 Bub — g-5- Inn- ae
Permit Center Vetadale, WA 99037
I1707 E Sprague Ave, Suite 106 Fax: 892-0432
:male y Spokane Valley, WA 99206 PER 41T NUMBER:
(509)688-0036 FAX: (509)688-0037 PERMIT FEE:
Community Development www%spokancvalley.or-.com
Plumbing Permit Application ❑ Commercial' ® Residential
- OLP SITE ADDRESS: 11422 E EmUire Ll 5oy3. 0 `QOLP
BuRding owner
DESCRIPTION OF WORK
Name: Reil
Phone: 924-7711 Fax.
Address: SAME
City: State- Zip:
Contractor
TOTAL AMOUNT
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:
Contact
Name: Sheila Gibbons
Phone: 928-0580
AUTHORIZED SIGNATURE:
Received Time Feb,21. 2012 9:51AM No,6497
REVISED 8/26105
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
=
4
1 SHOWERS ER TRAP
BATH, STALL, ONSITE BUILT
X
1 $6.00
=
5
SINKS
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
=
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
X
$6.00
_
8
GARBAGE DISPOSAL
X
$6.00
9
WATER SOFTENER
X
$6.00
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
FLOOR DRAINS
AREA CASE, COIL, TRENCH, CONDENSATE
X
$6.00ROOF
F13
DRAINS/OVERFLOW
DRAINS
X
$6.00
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
1
X
$6.00
=
6.00
15
SEWAGE EJECTOR
GRINDER. SUMP PUMP
X
$6.00
=
16
WATER USING DEVICE
ICE AWOR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER CARBONATOR, SWAMP COOLER
X
$6.00
=
17
CROSS CONNECTION DEVICE
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
$6.00
=
19
MEDICAL GAS r outlet
NITROUS, OXYGEN
X
$6.00
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ CASH ❑ CHECK ® VISA ❑ MASTERCARD
Card## See fax cover EXPIRES: 03/2012
SUBTOTAL
6.00
PROCESSING FEE
37.00
TOTAL PERMIT FEE DUE:
48.00
AUTHORIZED SIGNATURE:
Received Time Feb,21. 2012 9:51AM No,6497
REVISED 8/26105