1993, 06-24 Permit App: 93005129 Plumbing FixturesAPPLICATION WORKSHEET
L General Information
11
Clog address /al- 67/ / /' .r/�
`j 1)1 I/
Pa reel number
owner »r///a, G --i-i/I_L n • A:7)/2/-67Maihngadd(r�// 1/ / s L-_- LJ,,,� �, ✓�
City
L, Site Information
State
�itll�f
1'lionc /
1
Properly size
a ler District
Number ol:
Dwellings
Bunchily
L, Project Information
[ermit Use
L, Building Information
Dwelling units ,
Building dunenstotis
upantload
Total square footage
I New
Square footage breakdown
Main floor
Uncovered /covered deck
Second floor
Other
Finished basement
Unfinished basement
liarage
l
LContractor Informationy
Budding contractor
License number
Phone
Building height
Req'd parking j Handicap parking Sprinkler system I Unties,' Malenal
Ma Cling address
IAddition
Kemodel
Stones
IChangeotuse fi
Heating and insulation information (R—values)
Heal source
FTat ceilingV culled ceiling Above grade waU
Below grade wall Floor Slab on grade
Door (u—value) Window Furnace ellioency
total window area % of Boor area
Plumbing contractor �j� ('4 c
License num
i o/d S/11 5O
Mailing address
City, state, zip
3-4-a `7‘
Phone
5-3S-
1-"c),23/-7
3s
DOS
°ty.state. zip /dGCGii-? / W/r % %a/ ,%—
I pealing contractor
License num r
Phone
Mailing address
City, state, zip
Other/Lender
License number
Phone
Marling address
City, state, zip
1PROJECr CONTACT'
PHONE
Spokane County Division of Buildings
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
Ca/ ri ✓, r/.Z
OWNER: C.'6/ 4.77 7 f� /r1 ‘7't
MAILING ADDRESS: /co Co /C 7 r' 4 ` ✓"e—
(street)
CONTRACTOR: 6v / /'7 1.4-77 i fc v
PHONE:
//4
(city/state) (zip)
MAILING ADDRESS: 5-5-d 4 E.
LICENSE:6o/ISo,102670 e
PHONE: 5-3 S— 3-1 moi/
1,V4
(street) (city/state)
c7-7-/�
(zip)
SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE • SPOKANE, WA 99260 $ (509) 456-3675
%MASTER\PLUMPO&MJMD
PLUMBING FIXTURES
DESCRIPTION DETAIL
# OF
UNITS
uuui-
PUEDsr
COSI'
/UNIT
eavuts
AMOUNT
1302 TOIIETS
WATER CLOSETS, BIDETS
x
$6
=
$
Boa URINALS
-
x
$6
=
$
1304 TUBS
BATH, JACUZZI, SPA, GARDEN
x
. $6
=
$
B05 SHOWERS (per trap)
BASE, STALL, ON—SITE BUILD
X
$6
=
$
106 SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X—RAY, FOOD (PREP/CULINARY/MEAT)
/ 4
R
$6
=
•
$
B07 DISHWASHER
-
x
$6
=
$
BO8 CLOTHES WASHER
-
1
x
$6
=
$
109 GARBAGE DISPOSAL/GRINDER
-
x
$6
=
$
BIO WATER SOFTENER
-
x
$6
=
$
ELECTRIC HOT WATER TANKS
(NOTE: if aas water tank, see mechanical)
x
$6
=
$
1312 FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
x
$6
=
$
813 ROOF DRAINS/OVERFLOW DRAINS (ea.)
-
x
$6
=
$
BB14 FOUNTAINS, DRINKING
-
x
$6
=
$
1:16 WATER PIPING/DRAIN—WASTE—VENT
INSTALLATION, ALTERATION OR REPAIR
x
$6
=
$
B;16 SEWAGE EJECTORS
GRINDER, SUMP PUMP
/
x
$6
=
$
10 WATER USING DEVICES
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
R
$6
=
$
B1$ CROSS—CONNECTION DEVICES
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, SUMPS,
TANKS, BOILERS, & SPRINKLER SYSTEMS
x
$6
=
$
1119 INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
=
$
B20 MEDICAL GAS (per outlet/bottle station)
NrrRous, oxyGEN
x
$6
=
$
821 MISCELLANEOUS FDCI'URES
x
$6
=
$
NOTE: MINIMUM PERMIT FEE IS $35.00
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$
SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE • SPOKANE, WA 99260 $ (509) 456-3675
%MASTER\PLUMPO&MJMD