2012, 03-01 Permit App: BLD-2012-0080 Plumbing fixtures*Mane
lley
Community Development
Plumbing Permit
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
�cww pnkanevalley.ore.com
pplication ❑
Mail or Fax To:
Norm's Excavating, Inc. E 0 9 9 0 N
PO Box 574
Veradale, WA 99037
Fax: 892-0432
Commercial
WVSti:6 awil paAiaaa1
6L -,do -21/2-008e
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: 7803 E Li erty
Building owner
Name: Allan
Phone:
474-9680 Fax:
Address: SAME
City: State:
Zip:
Contractor
Name: Norm's Excavating, Nic
Phone: 509/928-0580
Fax: 509/892-0432
Address: PO Box 574
City : Veradale State: WA
Zip: 99037
License No: NORMSEI972BY
City Business License No:
Contact
Name: Sheila Gibbons
Phone: 928-0580
DESCRIPTION OF WOPK
# OF UNITS
X
COST
TOTAL AMOUNT
TOILETS
WATER CLOSET, BIDETS
X
$6.00
2
URINALS
X
$6.00
3
TUBS
X
$6.00
4
SHOWERS (PER TRAP
BATH. STALL, ON-SITE BUILT
X
$6.00
5
SINKS
LAVS/BASINS, 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
$6.00
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/OVERF .OW
DRAINS
X
$6.00
13
FOUNTAINS, DRINKING
X
$6.00
14
WATER PIPING/DRAIN, IN WASTE,
VENT. PLUMBING, RE%ERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
1
X
86.00
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.O. FOR: VATS, TANKS, BOILERS
X
86.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
19
MEDICAL GAS (per outl at)
NITROUS OXYGEN
X
$6.00
20
MISCELLANEOUS PLU ABING
FIXTURE
X
$6.00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
METHOD OF PAYMEN—:
❑ CASH 0 CHECK
Card# See fax cover
AUTHORIZED SIGNATURE:
n•d
ISI VISA 0 MASTERCARD
EXPIRES: 03/2012
2F4.n2nRRnc
SUBTOTAL
6.00
PROCESSING FEE
TOTAL PERMIT FEE DUE:
6.00
/L. po
REVISED 8/26'05
�utlene0xR stuJOIJ eT2:ni 21 in Jew