HomeMy WebLinkAbout2012, 04-04 Permit App: BLD-2012-0298 Plumbing Fixtures11p r u'T 1 G J. 1. .-ra
Permit Center
Stamm"- 11707 E Sprague Ave, Suite 106
Spokane Valley,
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(509)688-0036 FAX: (509)688-0037
Community Development www.snokanevallev.org.com
Plumbing Permit Application
SITE ADDRESS: 4421 N Mayhew
Mail or Fax To:
Norm's Excavating, Inc.
PO Box 574
Veradale, WA 99037
Fax: 892-0432
PERMIT NUMBER:
PERMIT P'hh:.g
❑ Commercial ® Residential
Building owner
DESCRIPTION OF WORK
Name: Kasparian Phone: 926-8976 Fax:
X
COST
Address: SAME
City: State:
Zip:
Contractor
WATER CLOSET, BIDETS
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:
X
Contact
=
Name: Sheila Gibbons
Phone: 928-0580
—
AUTHORIZED SIGNATURE:
!'CrGI.1e .;i
Received Time Apr. 4. 2012 11:46AM No. 7035
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$6.00
=
3
TUBS
X
$6.00
L _
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6.00
=
5
SINKS
LAVSJBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
X
$6.00
=
6
DISHWASHER
X
$6-00
=
7
CLOTHES WASHER
X
86.00
=
8
GARBAGE DISPOSAL
X
$6.00
_
9
WATER SOFTENER
X
$6.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH. CONDENSATE
X
$6.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$6.00
_
13
FOUNTAINS, DRINKING
X
$6.00
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
$6.00
=
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
$6.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=-
METHOD OF PAYMENT:
0 CASH 0 CHECK ® VISA 0 MASTERCARD
Card See Cover Sheet EXPIRES:
SUBTOTAL SUBTOTAL
6.00
PROCESSING FEE
37.00
TOTAL PERMIT FEE DUE:
43.00
AUTHORIZED SIGNATURE:
!'CrGI.1e .;i
Received Time Apr. 4. 2012 11:46AM No. 7035
REVISED 8/26/05