2012, 02-27 Permit App: BLD-2012-0038 Plumbing FixturesFeb 21 12 10:25a
n r.�
. lley
Community Development
Plumbing Permit Application
Norms Excavating
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org.corn
SITE ADDRESS: 13621 E Longfellow
OU i0 cu-r.:i
Mail or Fax To:
Norrn's Excavating, Inc.
PO Box 574
Veradale, WA 99037
Fax: 892-0432
Z6I-003k
PERMIT NUMBER:
PERMIT I•'hh:
Commercial ® Residential
AUTHORIZED SIGNATURE:
Received Time Feb. 21. 2012 9:51AM No. 6497
32.00
REVISED 8(26105
DESCRIPTION OF WORK
# OF UNITS
X
COST
Bonding owner
Name: Salsbury Phone:
280-6162 Fax:
1
Address: SAME
City: State:
Zip:
Contractor
$6.00
=
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
TUBS
Name: Sheila Gibbons
Phone: 928-0580
56.00
-
4
AUTHORIZED SIGNATURE:
Received Time Feb. 21. 2012 9:51AM No. 6497
32.00
REVISED 8(26105
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
1
X
$6.00
=
6.00
2
URINALS
X
$600
3
TUBS
X
56.00
-
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, FOOD, PREP/CULINARY MEAT
1
X
56.00
a
6.00
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
X
$6.00
a
8
GARBAGE DISPOSAL
X
58.00
=
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
a
13
FOUNTAINS, DRINKING
X
56.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, 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
a
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
56.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
515.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK ® VISA 9 MASTERCARD
EXPIRES: 03/2012
SUBTOTAL
24.00
PROCESSING FEE
& • Op
TOTAL. PERMIT FEE DUE:
24.00
AUTHORIZED SIGNATURE:
Received Time Feb. 21. 2012 9:51AM No. 6497
32.00
REVISED 8(26105