HomeMy WebLinkAbout2012, 07-12 Permit App: BLD-2012-1092 Plumbing FixturesJL 1 .L 1 , 1 L V'- • %J V D
Spokane
Valley
Community Development
Plumbing Permit
SITE ADDRESS:
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Mail or Fax To:
Norm's Excavating, Inc.
PO Box 574
Veradale, WA 99037
Fax: 892-0432
wpw.. ok: nevallcv.ore..um
Application n
Commercial
PERMIT NUMBER:
PERMIT FEE: Li 5,
Residential
Z -
1920 N. Long
Building owner
DESCRIPTION OF WORK
Name: Kayser
Phone:
Fax:
Address: SAME
City: State: Zip:
Contractor
TOILETS
WATER CLOSET, BIDETS
Name: Norm's Excavating, Inc
Phone: 509/928-0580
Fax: 509/892-0432
Address: PO Box 574
City : Veradale State: WA
Zip: 99037
License No: NORMSEI972BM
City Business License No:
Contact
86.00
=
Name: Sheila Gibbons
Phone: 928-0580
TUBS
AUTHORIZED SIGNATURE:
Received Time Jul. 11. 2012 9:57AM No, 8644
REVISED 826/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
56.00
=
2
URINALS
X
86.00
=
3
TUBS
X
56.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
86.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
86.00
=
6
DISHWASHER
X
86.00
=
7
CLOTHES WASHER
X
86.00
=
8
GARBAGE DISPOSAL
X
$6.00
=
9
WATER SOFTENER
X
86.00
=
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
86.00
=
6.0D
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
86.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
86.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
86.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
86.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
86.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
820.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
815.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK ID VISA 0 MASTERCARD
Card# See Cover Sheet EXPIRES:
SUBTOTAL
6.00
PROCESSING FEE
37.00
TOTAL PERMIT FEE DUE:
43.00
AUTHORIZED SIGNATURE:
Received Time Jul. 11. 2012 9:57AM No, 8644
REVISED 826/05