2003, 06-05 Permit: BD-03-277 Plumbing Fixturesaxe of ,
ne
.0 " V .ley
CATION
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'ROJECT
WDDRESS: '! 3 /\I fa r kJ
DESCRIPTION
PERMIT
USE:
# OF UNITS
DINNER: ?0 t \\ --A- lel n r .O
COST
PHONE (Daytime Contact):
Claja ka7
v1AILING ADDRESS:
0
i1a 3 r c; 4 X (' Rd
s PO kart .
Wei. . qqa o
(street)
(city/state)
(zip)
;ONTRACTOR:
°- S
Col�s-t-•
URINALS
LICENSE #: Rs Colo
/, 3 ,'f
AAILING ADDRESS:
$6
=
PHONE #:
3
YL P,,,(L-
992ink.
(street)
(city/state)
- (zip)
G' FIXTURES
DATE:
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
x
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6
=
2
URINALS
•
X
$6
=
3
TUBS
X
$6
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6
=
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X
$6
=
6
DISHWASHER
X
$6
=
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
=
6 -p°
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6
a
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLER
X
$6
_
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
s
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
=
20
MISC PLUMBING FIXTURE
X
$6
a
-
•
SUBTOTAL
6.00
i,*
■
CASH • CHECK ❑ Mai ■ -'''
PLUS PROCESSING
FEE
$35.00
FAXED PERMITS WWI
ILL ONLY BE ACCEPTED writ PAYMENT
OF A MAJOR CREDIT CARD
•
TOTAL PERMIT FEE
DUE
4/• 0
DATE:
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SPOKANE COUNTY DIVISION OF Bi►UII DING
AND CODE ENFORCEMENT
SpowrithuRrY
1026 WEST BROADWAY AvEliuE 41 SPOKANE, .
Site Information
Project Information
Site Address: 423 N FARR RD
SPOKANE, WA 99206
Parcel Number: 45173.0812
Subdivision: OPPORTUNITY TR # 01-354
Block: Lot:
Zoning: UR -3 Urban Residential 3.5
Owner: THOMPSON, WILLIAM
Address: 423 N FARR RD
SPOKANE, WA 99206
Building Inspector: NONE
Water Dist:
Project Number: 03003957 Inv: 1 Issue Date:
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
Setbacks - Front: Left: Right:
Group Name:
Project Name:
6/5/2003
Phone: (509) 926-8964
Phone: (509) 926-8964
Rear:
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 lowest level 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, 009)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 AmountP aid A iountOwing
$100.00 $100.00 $0.00
Processed By: BURRIS, ROBIN
Printed By: WENDEL, GLORIA
Tran Date
6/5/2003
Page 1 of 1
Receipt # Payment Amt
3518 $100.00
PERMIT