2012, 05-24 Permit App: BLD-2012-0723 Plumbing Fixtures*blame
jMiHey
Permit Center
11707E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevallcv.org.com
Plumbing Permit Application
SITE ADDRESS: 8211 E Marietta
Mail or Fax To:
, Norm's Excavating, Inc.
PO Box 574
Veradale, WA 99037
Fax: 892-0432
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PERMIT NUMBER:
PERMIT I- Eh:
❑ Commercial ® Residential
AUTHORIZED SIGNATURE:
- ,;<, (7/4",(0- ,e
Received Time May. 24. 2012 9:41AM No, 7871
REVISED 826/05
DESCRIPTION OF WORK
Banding
X
COST
owner
Name: Dinsmoor
Phone: 590-7964
Fax:
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
$6.O0
=
4
AUTHORIZED SIGNATURE:
- ,;<, (7/4",(0- ,e
Received Time May. 24. 2012 9:41AM No, 7871
REVISED 826/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
a
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
1
X
$6.00
=
6.00
2
URINALS
X
$6.00
3
TUBS
X
$6.O0
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
56.00
=
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
1
X
$6.00
=
6.00
6
DISHWASHER
X
$6.00
=
7
CLOTHES WASHER
X
$6.00
8
GARBAGE DISPOSAL
X
56.00
=
9
WATER SOFTENER
X
56.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COL, TRENCH, CONDENSATE
X
56.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
56.00
=
13
FOUNTAINS, DRINKING
X
56.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL.
NSTALLATION, ALTERATION, REPAIR.
REVERSALS
1
X
$6.00
=
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
$6.00
=
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
$6.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56.00
a
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
520.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
515.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK ® VISA ❑ MASTERCARD
EXPIRES:
SUBTOTAL
18.00
PROCESSING FEE
8.00
TOTAL PERMIT FEE DUE
26.00
AUTHORIZED SIGNATURE:
- ,;<, (7/4",(0- ,e
Received Time May. 24. 2012 9:41AM No, 7871
REVISED 826/05