1996, 07-16 Permit App: 96005545 Plumbing FixturesL('-)
PLUMBING PERMIT APPLICATION
r
CT
PROJECT ADDRE S: /#/,-) /
OWNER: /' 17:-E"/
MAILING ADDRESS:
-
(street)
PHONE: DAYTIME CONTACT PO / C)
Acity/state) prbfzpft1 «•7 (zip)
LICENSE7 2 /e4._ r7k-
PHONE: -
CONTRACTOR:-
MAILING ADDRESS: /e0 Zen )< crefr'57
(s t)
(city/state)
(zip)
PLUMBING FIXTURES
DESCRIPTION 1 DETAIL
#0F
UNITS
MULTI.
LZD
COST
/UNIT
EQUALD
AMOUNT
B0
TOILETS
WATER CLOSETS, BIDETS
x
$6
$ 49=c-'
B03
URINALS
x
$6
$
B04
TUBS
BATH, JACUZZI, SPA, GARDEN
x
$6
$
SHOWERS (per trap)
BASE, STALL, ON-SITE BUILD
x
$6
$
SINKS
IAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD (PREP/CUIINARY/MEAT)
/
x
$6
DISHWASHER
x
$6
CLOTHES WASHER
x
$6
GARBAGE DISPOSAL/GRINDER
x
$6
$
WATER SOFTENER
x
$6
$
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
$
FOUNTAINS, DRINKING
x
$6
WATER PIPING/DRAIN-WASTE-VENT/
PLUMBING REVERSALS
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
x
$6
SEWAGE EJECTORS
GRINDER, SUMP PUMP
x
$6
$
WATER USING DEVICES
ICE AND/OR CO»Ith MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
x
$6
CROSS -CONNECTION DEVICES
VACUUM BREAKER, CHECK VALVE,
AND RP.B.P.D. FOR: VATS, SUMPS,
TANKS, BOILERS, & SPRINKLER SYSTEMS
x
$6
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:
Subtotal
PLUS: PROCESSING FEE
$25 .00
TOTAL PERMIT FEE DUE
$
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.
7/6195 Unagolephimpraird