HomeMy WebLinkAbout2013, 03-25 Permit App: BLD-2013-0490 Sewer ReversalSpokane`
�Ualley
Community Development
Plumbing Permit
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www pokr.ncvalIcs nr_ com
Application
Mail or Fax To
Norm's Excavating, Inc
P.O Box30873
Spokane, WA 99223
Fax. 509/446-4906
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PERMIT NUMBER:
PERMIT FEE: 4 1 .00
n Commercial ® Residential
SITE ADDRESS: I8c 12 E Maxwell
Building owner
DESCRIPTION OF WORK
#OF UNITS
Name: Allen
Phone.
Fax
TOTAL AMOUNT
Address: SAME
City:
Stare:
Zip -
Contractor
$6.00
=
Na:ne. Norm's Excavating Inc
Phone 509/328-0580
Fax: 509/448-4906
Address: PO Box 30873
City: Spokane State:
WA
Zip 99223
License No: NORMSEI972BM
City Business License No.
Contact
X
3600
=
Name Tina Lingo
Phone. 928-0580
SHOWERS (PER TRAP)
BATH, STALL. ON-SITE BUILT
AUTHORIZED SIGNATURE:
gd
906P-9PP-609
Ouj '6UITBAEOXR s WJON
REVISED 626105
B£0:90£LSZJBW
DESCRIPTION OF WORK
#OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
$600
=
3
TUBS
X
3600
=
4
SHOWERS (PER TRAP)
BATH, STALL. ON-SITE BUILT
X
36 00
=
5
SINKS
LAVS/RASINS. BAR, FLOOR, KITCHEN,
LAUNDRY. UTILITY, JANITOR. PHOTO,
X-RAY, FOOD, PREPICULINARY MEAT
X
36 00
=
6
DISHWASHER
X
5600
=
7
CLOTHES WASHER
X
36 00
=
8
GARBAGE DISPOSAL
X
3600
=
9
WATER SOFTENER
X
3600
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
56.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
3600
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
36 00
=
13
FOUNTAINS, DRINKING
IX
36.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR, I
REVERSALS I 1
X
5600
=
6.00
15
SEWAGE EJECTOR
GRINDER SUMP PUMP 1
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 PB P.D. FOR: VATS, TANKS, BOILERS
X
56.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
3600
=
19
MEDICAL GAS (per outlet)
NITROUS. OXYGEN
X
36.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
5600
=
27
PRIVATE SEWAGE DISPOSAL/SYS
X
320.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
0 CASH 0 CHECK 0 VISA 0 MASTERCARD
Card# See fax cover EXPIRES:
SUBTOTAL
6.00
PROCESSING FEE
1
8.00
TOTAL PERMIT FEE DUE:
14.00
AUTHORIZED SIGNATURE:
gd
906P-9PP-609
Ouj '6UITBAEOXR s WJON
REVISED 626105
B£0:90£LSZJBW