1997, 03-03 Permit App: 97001130 Sprinkler SystemPLUMBING PERMIT APPLICATION
3
PROJECT ADDRESS: 5 ,J4b P o\r-e-Scb
OWNER: L
MAILING ADDRESS: 3 (\ C) c--/-0 -) I?
(street)
CONTRACTOR:
PHONE: DAYTIME CONTACT 9 2.3
kew
P"- 1 9 20
(city/state)
(zip)
MAILING ADDRESS: 10 •2.0(2)-7 \-) 1.5+.0L-
(street)
LICENSE: k 1 -Y) Prn
PHONE: 9 2S 225L
6karlo u-,bf
(city/state) (zip)
PLUMBING FM U'RES
DESCRIPTION DETAIL
roF
UNITS
MULTI -
LIED
COST
/UNIT
EQUALS
AMOUNT
TOILETS
WATER CLOSETS, BIDETS
X
$6
1303
URINALS
X
$6
$
TUBS
BATH, JACUZZI, SPA, GARDEN
x
$6
$
SHOWERS (per trap)
SINKS
BASE, STALL, ON-SITE BUILD
x
$6
$
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD (PREP/CULINARY/MEAT)
X
$6
DISHWASHER
X
$6
$
Bot:
CLOTHES WASHER
x
$6
$
BOW
GARBAGE DISPOSAL/GRINDER
x
$6
WATER SOFTENER
X
$6
$
1311
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank, see mechanical)
X
$6
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6
$
ROOF DRAINS/OVERFLOW DRAINS (ea
x
$6
$
1315.
FOUNTAINS, DRINKING
X
$6
$
WATER PIPING/DRAIN-WASTE-VENT/
PLUMBING REVERSALS
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6
$
B
SEWAGE EJECTORS
GRINDER, SUMP PUMP
X
$6
$
B
WATER USING DEVICES
ICE AND/OR COFFhE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
x
$6
$
B18
CROSS -CONNECTION DEVICES
VACUUM BREAKER, CHECK VALVE,
AND RP.B.P.D. FOR: VATS, SUMPS,
TANKS, BOILERS, & SPRINKLER SYSTEMS
X
$6
Rik
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
$
MEDICAL GAS (per outlet/bottle station)
NITROUS, OXYGEN
x
$6
$
MISCELLANEOUS FIXTURES
X
$6
$
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
eTh
Subtotal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
$ 3
Spokane County Division of Building & Planning
1026 W. Broadway Avenue * Spokane, WA 99260
Tel. No. (509) 456-3675 * Fax No. (509) 324-3198 * TDD No. (509) 324-3166
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
7/6/93 Watipluecorm
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