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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