2003, 06-11 Permit: BD-03-276 Plumbing Fixtures,-icryori,,0•00%.44,
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IT APPLICATION
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'ROJECT
1DDRESS: e,
DESCRIPTION
N
1-1:-GuYr
X
COST•
PERMIT
USE:
AMOUNT
1
TOILETS
7
)WNER: Q 4 \pc, buc LN $k
PHONE (Daytime Contact):
29 / _ 7 3
a
RAILING ADDRESS:
2
URINALS
/
X
(street)
=
(city/state)
3
(zip)
:ONTRACTOR: ,L o
X
CC, ii
i
4
LICENSE #:
/
F
1AILING ADDRESS:1
=
l 11 y
`� tCL
y
LAVSBASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
PHONE*: q
z /
�F
$6
a
6
DISHWASHER
X
$6
(street)
(city/state)
CLOTHES WASHER
(zip)
PLUMING' FIXTURES
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
X
COST•
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6
a
•
2
URINALS
•
X
$6
=
3
TUBS
X
$6
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6
=
5
SINKS
LAVSBASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X
$6
a
6
DISHWASHER
X
$6
a
7
CLOTHES WASHER
X
$6
=
8
GARBAGE DISPOSAL
-,
X
$6
=
9
WATER SOFTENER
X
$6
=
10
ELEC HOT WATER TANK
NOTE: IF GAS SEE MECHANICAL
X
$6
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6
=
12
FOUNTAINS, DRINKING
X
$6
=
13
WATER PIPING/DRAIN-IN
WASTE, VENT,
PLUMBING REVERSAL
INSTALLATION, ALTERATION,
REPAIR, REVERSALS
/
X
$6
a
/
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6
=
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLER
'
X
$6
a
16
CROSS CONNECTION
DEVICE
VACUUM BREAKER, CHECK
VALVE, AND R.P.B.P.D. FOR:
VATS, SUMPS, TANKS, BOILERS
X
$6
=
17
SPRINKLER SYSTEM
X
$25
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6
=
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
=
20
MISC PLUMBING FIXTURE
_
X
$6
=
. -
•
_
;� _ ; .>'
SUBTOTAL
•
b 6)(9
•
CASH • CHECK 0 . •
PLUS PROCESSING
FEE
$35.00
FAXED PERMITS WILL ONLY BE ACCEPTED
OF A MAJOR CREDIT
•
WITH PAYMENT
CARD
TOTAL PERMIT FEE
DUE
� / ,
7"
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SPOKANE, COUNTY DIVISION OF BUILDING
AND CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
SPow€Coutsm
Site Information
Project Information
Site Address: 224 N FARR RD
SPOKANE, WA 00000
Parcel Number: 45173.1023
Subdivision:
Block: Lot:
Zoning: UR -7 Urban Residential -7
Owner: DUDINSKY, DAVID C & CATHERINE
Address: 224 N FARR RD
SPOKANE, WA 99206-3791
Building Inspector: BOBBY STONE
Water Dist:
Project Number: 03003956 Inv: 1 Issue Date: 6/5/2003
Permit Use: SEWER CONNECTION - WALNUT
Applicant: H & S CONSTRUCTION
11817 E. VALLEYWAY AVE
SPOKANE WA 99206
Contact: H & S CONSTRUCTION
11817 E. VALLEYWAY AVE
SPOKANE WA 99206
Phone: (509) 926-8964
Phone: (509) 926-8964
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: H & S CONSTRUCTION License #: HSCON**123KF
SEWER CONNECTION 1 $85.00 PROCESSING FEE
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main sewer.
Sewer lines should be constructed to allow for gravity flow from the Iowest Ievel of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries, including
those related to trench safety.
$15.00
$100.00
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date
6/5/2003
Processed By: BURRIS, ROBIN
Printed By: WENDEL, GLORIA Page 1 of 1
Receipt # Payment Amt
3518 $100.00
PERMIT
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