1993, 08-25 Permit App: 93007486 Plumbing FixturesPLUMBING PERMIT APPLICATION FOR
Llai Information Worksheet J
JOB STREET ADDRESS: r �����/`�N e l
CITY/STATE/ZIP:-¢b�C A_ PARCEL NUMBER:
/ l
OWNER: /,OLI 'gaeA«' PHONE NUMBER:
MAILING ADDRESS: �50 c'
(Street) (City/State) (Zip)
CONTRACTOR: Ajv- � �/� LICENSE NUMBER: 0'f/-? 7 �/ f
PHONE NUMBER: / Z %y-3 3
MAILING ADDRESS: 9613- Z- 11% e !G k � o A4 -e, Zxj,4
(Street). ('pity/State) (Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTION
NUMBER OF I X EACH
FIXTURES IFIXTURE
= AMOUNT
CLOTHES WASHER.
UTILITY SINKS
!
x 6.00
ELECTRIC ' WATER HEATERS T
;, _'
x " 6.00.
FLOOR DRAINS
x .: 6.00
FLOOR SINKS
Ix 6.00
BAR SINKS
Ix: 6.00
I
ROOF DRAINS
x `: 6. D0 !
z
LAWN SPRINKLER:
Ix .6.00 -�'
SEWAGE -EJECTOR
=Ix 6.00'...1.
t
WATER SOFTENER
ix 6.00 =J
URINAL
,
!x 6.00 =)
TO%
BOX 129-A
ELK, WA 99009
927-4339 & 292-8302
NOTE: MINIMUM VjRMIT FyE S $35.00
SIGNA
PLUS: PROCESSING FEET+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE 1 _ $ 27o v
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
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