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2012, 10-09 Permit App: BLD-2012-1775 Plumbing Fixtures• Permit Center 11707 E Sprague Ave, Suite 106 �'��dlley Spokane Valley,036WA 99206 (509)688-0036 FAX: (509)688-0037 Community Development w wl� okano,allcA-ur+-cum Plumbing Permit Application s: 721 N Lon Mail or Fax To: r 0 Norm's Excavating, Inc. 0 17 E 0 N PO Box 574 Veradale, WA 99037 Fax: 892-0432 ❑ Commercial WV[0:6 6[06 '6 'PO "Hi pA!;Dq PERMIT NUMBER: 6 (cf - 1 PERMIT FEE: j z 00f 4 ® Residential -1 77C AUTHORIZED SIGNATURE: 51J T'1PAB"J]C7 SWJOLI REVISED 8/26/05 ea4,:Rn 2T An 40n DESCRIPTION OF WORK # OF UNITS Building COST = TOTAL AMOUNT owner Name: Yelley Phone: 928-5712 Fax: 1 Address: SAME $6.00 City: State: Zip: Contractor URINALS Name: Norm's Excavating, Inc $6.00 Phone: 509/928-0580 Fax: 509/892-0432 Address: PO Box 574 TUBS City : Veradale State: WA Zip: 99037 License No: NORMSET972BM $6.00 City Business License No: Contact SHOWERS (PER TRAP) BATH, STALL ON-SITE BUILT 1 Name: Sheila Gibbons $6.00 Phone: 928-0580 6.00 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR. PHOTO, X-RAY, F000, PREP/CULINARY MEAT 1 AUTHORIZED SIGNATURE: 51J T'1PAB"J]C7 SWJOLI REVISED 8/26/05 ea4,:Rn 2T An 40n DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 1 X $6.00 = 6.00 2 URINALS X $6.00 = 3 TUBS $6.00 4 SHOWERS (PER TRAP) BATH, STALL ON-SITE BUILT 1 X $6.00 = 6.00 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR. PHOTO, X-RAY, F000, PREP/CULINARY MEAT 1 X $6.00 = 6.00 6 DISHWASHER X • • 7 CLOTHES WASHER X '' 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 $6.00 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 13 FOUNTAINS, DRINKING X $6.00 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS 1 X 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 $6.00" 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X • 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X 815.00 = METHOD OF PAYMENT: 0 CASH ❑ CHECK ® VISA ❑ MASTERCARD r.....ls em r,.,,o" !Chau,* EXPIRES: SUBTOTAL 24.00 PROCESSING FEE 8.00 TOTAL PERMIT FEE DUE: 32.00 AUTHORIZED SIGNATURE: 51J T'1PAB"J]C7 SWJOLI REVISED 8/26/05 ea4,:Rn 2T An 40n