2012, 04-04 Permit App: BLD-2012-0299 Plumbing FixturesApr 04 12 11:25a Norms Excavating
Permit Center
AP �. I� Sprague 11707 E Spgue Ave, Suite 106
atieloV alley Spokane Valley, WA 99206
Y�'.7 (509)688-0036 FAX: (509)688-0037
Community Development www.spokancvallev.org.com
Plumbing Permit Application
5098920432
Mail or Fax To:
None's Excavating, Inc.
PO Box 574
Veradale, WA 99037
Fax: 892-0432
❑ Commercial
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PERMIT NUMBER:
PERMIT 11 t: 1t /f/, 00
Residential
srrE ADDRESS: _1815 S Lake Rd
Building owner
DESCRIPTION OF WORK
Name: Hoshke Phone: 448-3296 Fax:
X
COST
Address: SAME
City: State:
Zip:
Contractor
WATER CLOSET, BIDETS
1
Name: Norm's Excavating, Inc
Phone: 509/928-0580
Fax: 509/892-0432
Address: PO Box 574
City : Vcnada)e Stale: WA
Zip: 99037
License No. NORMSEI972BM
City Business License No:
X
Contact
=
Name: Sheila Gibbons
Phone: 928-0580
AUTHORIZED SIGNATURE:
Received Time Apr. 4. 2012 11:46AM No.7035
REVISED 8/2W05
DESCRIPTION OF WORK
4 OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
1
X
$6.00
=
6.00
2
URWALS
X
$6.00
=
3
TUBS
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ONSITE BUILT
1
X
$6.00
=
6.00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY. UTILITY, JANITOR, PHOTO,
X-RAY, FOOD PREP/CULINARY MEAT
1
X
$6.00
=
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
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
.X
$8.W
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$'00
13
FOUNTAINS, DRINKING
X
$800
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
1
X
$600
=
6.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6 00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER,CARBONATOR,SWAMP COOLER
X
$6A0
...
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 TRW,
CHEMICAL HOLDING TANK
X
$6.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
ci
21
PRIVATE SEWAGE DISPOSAIISYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
—
=
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MASTERCARD
r=.na coo !train slant EXPIRES:
SUBTOTAL
24.00
PROCESSING FEE
8.00
TOTAL PERMIT FEE DUE:
32.00
AUTHORIZED SIGNATURE:
Received Time Apr. 4. 2012 11:46AM No.7035
REVISED 8/2W05