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2012, 04-26 Permit App: BLD-2012-0495 Plumbing FixturesjMalley Community Development Plumbing Permit Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 'pnn;lnacali.; ore cnm 111Application Mail or Fax To. Norm's Excavating, Inc. 9 L C L N PC) Box 574 veradale, WA 99037 Fax: 692-0432 Commercial Resi WVLI Ol 6LO6 '96'/dV aWil p;AiaD3 bed-Zet2 -0(/95 PERMIT NUMBER: PERMIT FEE: ential sITE ADDRESS: 11923 E Frederick Building owner Name: Noack Phone: 922-1331 Fax: Address: SAME - City: ctatc: Zip: Contractor Name: Norm's Excavating, Inc Phone: 509/928-0580 Fax: 509/892-0432 Address: PC) Box574 City - Veradale State: WA Zip: 99037 License No. NORMSE1972BM City Business License No Contact Name: Sheila Gibbons Phone: 928-0580 DESCRIPTION OF WORK M OF UN rrs x COST TOTAL AMOUNT 1 TOILETS WATER CLOSET. BIDETS 1 X $6.00 6.00 2 URINALS x 56 00 3 TUBS x 56 00 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT 1 X 56.00 6.00 5 SINKS LAVS/BASINS, BAR, FLOOR- KITCHEN, LAUNDRY, UTILITY, JANITOR. PHOTO, X -RAV, FOOD. PREP/CULINARY MEAT X $6.00 6.00 0 DISHWASHER X 56 00 7 CLOTHES WASHER X 56.00 8 GARBAGE DISPOSAL X 56.00 9 WATER SOFTENER x $6-00 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL x $6 00 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE x 56.00 12 ROOF DRAINS/OVERFLOW DRAINS X 56.00 13 FOUNTAINS, DRINKING X $6.00 Vo 14 WATER PIPING/DRAIN-IN WASTE. VENT, PLUMBING, REVERSAL NSTALLAT1ON, ALTERATION, REPAIR, REVERSALS 1 X 56.00 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 16 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 56.00 19 MEDICAL GAS (per outlet) NITROUS. OXYGEN X 56.00 20 MISCELLANEOUS PLUMBING FIXTURE x $6.00 21 PRIVATE SEWAGE DISPOSAIJSYS x 520.00 22 INDUSTRIAL WASTE INTERCEPTOR x 515.00 METHOD OF PAYMENT: 0 CASH 0 CHECK Card See Cover Sheet AUTHORIZED SIGNATURE: El VISA 0 MASTERCARD EXPIRES: /. • .' SUBTOTAL 24.00 PROCESSING FEE 37.00 TOTAL PERMIT FEE DUE: 61.00 9'd 2E17026960S 2uneneox3 suiJoN REVISED 8,26/05 eLS:60 ZT 92 .Jdd