1996, 06-28 Permit App: 96005035 Plumbing ReversalPROJECT NUMBER= 96005035 APPLICATION
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
DATE= 06/28/96 PAGE= 01
SITE STREET= 2706 S MCCABE RD
ADDRESS= SPOKANE WA 99206
PERMIT USE= PLUMBING REVERSAL
PLAT#= 001224 PLAT NAME=
BLOCK= 4 LOT=
AREA= 00000000 F/A=
# OF BLDGS= 1 # DWELLINGS=
OWNER= BIRR, WD.
STREET= 2706 S MCCABE RD
ADDRESS= SPOKANE WA 99206
PARCEL#= 45274.1905
HILLCREST ACRES 3RD ADD
5 ZONE= UR 3.5 DIST#=
F WIDTH= DEPTH=
1 WATER DIST =
F
R/W=
PHONE= 509 922 0930
CONTACT NAME= H & S CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
**************A***+*A******** PLUMBING PERMIT ******************************
CONTRACTOR= ROBERT JOHNSON PLUMBING & HTG
STREET= 17520 E 6TH AVE
ADDRESS= GREENACRES WA 99016
ITEM DESCRIPTION
WATER PIPING - DWV
MINIMUM FEE ADJUSTMENT
PERMIT TYPE FEE AMOUNT
PLUMBING PERMIT 35.00
35.00
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LA.RSON
PHONE= 509 927 9088
QUANTITY FEE AMOUNT
1 6.00
Y 29.00
AMOUNT PAID AMOUNT OWING
.00 35.00
.00 35.00
************AlAAA+AAAAA********* THANK YOU ************************************
PLUMBING PERMIT'AIPPLICATION n- 503 5-'
PROJECT ADDRESS:
OWNER:
PHONE: DAYTIME CONTACT
MAILING ADDRESS:
(street) (city/state)
cONTRACI'oR: i CACI? 7 4- \ )n hA 5t0 n -P (,t,vY1 k tn d1
(zip)
MAILING ADDRESS: q 5 % O (044n
(street)
1,5 A l
PHONE:
£JrrcAarf is WA aol40
(city/state)
(zip)
Tel. No. (509) 456-3675 • Fax No. (509) 324-3198 • TDD No. (509) 324-3166
Spokane County does not discriminate on the basis o(disability in the admission to, or treatment or employment in, its programs or activities.
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PLUMBING FIXTURES
DESCRIPTION
DETAIL
# OF
U_N TS
tarn-
run, sr
COST
/UNIT
• un,s
AMOUNT
B02 TOILETS
WATER CLOSES, BIDETS
x
S6
= $
B03 URINALS
-
x
$6
= $
B04 TUBS
BATH. JACUZZ1,SPA. GARDEN
x
$6
= $
EBS SHOWERS (per trap)
BASE. STALL. ON-SITE BUILD
x
$6
= $
B06 SINKS
LAYS/BASINS BAR FLOORXIrQe4,
LAUNDRY. UTILITY. JANITOR PHOTO,
X-RAY, FOOD (PR EP,CULLNARY/MEAT)
x
$6
= $
B07 DISHWASHER' ' - -' -
-
x
S6
= $
808 CLOTHES WASHER
-
x
$6
= $
1109 GARBAGE DISPOSAL/GRINDER
-
- x
$6
= ,S
B10WATER SOFTENER
-
x
' $6
= $
B11 ELECTRIC HOT WATER TANKS
(NOTE: if gas nater tank. pre mab•ocal) '
x
$6
_•. $
B12 FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
x
$6
= $
B13 ROOF DRAINS/OVERFLOW DRAINS (ea.)
-
x
$6
= $
814 FOUNTAINS, DRINKING
-
x
S6
= $
B15 WATER PIPING/DRAIN-WASTE-VENT/
- `. PLUMBING REVERSALS
INSrAILA11oNALTBRAnoN, REPAIR.
REVERSALS
x
$6
= $ ce
MQ'—
B16 SEWAGE EJECTORS
GRINDER SUMP PUMP
x -
S6
=' S
B17 WATER USING DEVICES ' .
ICE AND/OR COFFEE MAILER
HOSE MR STEAMER !ROOFER
CARBONATOR SWAMP COOLERS
x
S6
= $
B18 CROSS -CONNECTION DEVICES
VACUUMBREAKER, CHECK VALVE,
AND R.P.APD. FOR: VATS SUMPS.
TANKS, BOILERS. & SPRINKLER SYSTEMS
x
$6
= $
B19 INTERCEPTORS
GREASE TRAP, SAND TRAP.
CHEMICAL HOLDING TANK
x
$6
= $
B20 MEDICAL GAS (pa outlet/bottle station)
NITROUS, OXYGEN
x
$6
= S
1121 MISCELLANEOUS FIXTURES
x
S6
= $
Spokane
1026
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING FEE $25.00
TOTAL PERMIT FEE DUE S 3
County Division of Buildings
W. Broadway Avenue • Spokane, WA 99260
PLEASE MAKECHECKS PAYABLE TO
SPOKANE COUNTY PERMIT CENTER
.. .
Tel. No. (509) 456-3675 • Fax No. (509) 324-3198 • TDD No. (509) 324-3166
Spokane County does not discriminate on the basis o(disability in the admission to, or treatment or employment in, its programs or activities.
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SEWER CONNECTION PERMIT
APPLICATION FORM -s--
PLEASE NOTE: This application form must be filled out accurately and in its entirety, and signed, or a permit
will not be issued. Also note that sewer permits are valid for 12 months from the date of issuance. No
extensions will be granted. tle-eielda743Ind del
PROJECT INFORMATION YCd7 y i 90C
Job address:
City:S 2d4 'mutate
_
Zip: `.2/�
Parcel number (if known):
Dry Line
Sewer? (Y
Owner's ame:
ide
City/State:
Zip: 9 9O,327
AI at. /i . A
Phone:
9q9c7 —1930
First-time contractors or home -owners performing the installation must first contact the utilities department (in person
or via phone [456-3604]) before a permit can be issued.
Name of Utilities Division person contacted:
CONTRACTOR INFORMATION
State contractor license number:
t-15 C-C&I 4-4-1.2 5 -K.F
Utilities installers permit number:
Contractor (company name):
i S Co,04-1(x c -I -ton
Business address:
IItilIna{\,,a
City/State: �S ,1C
f , WA -I
Zip: c1C-1 2.4cIALI Phone: G 2 t - 6 G (c t I
INTERIOR PLUMBING ALTERATIONS?
Fill out the information in the table below if applicab e
circle one
Contractor (if different from above): Phone: 0l 21 - G1053
,Ef'+ Jnk.n;0n $La,Mb
Business Address. Cit ate/Zip:
Gjreeryac,r-r5 WA 1c9c I(A
I 1 52,u 1= . (7-F11
�yr...u;,..::..�Yfv,,.,.. �..,
_nrar p1Lmbshg reversal feettnforihahot:See reverse;Side,of
^,-:',. *-. t,. :F- y.,:.vs.M iS,raw:o:>.ie r:'; ;de;:s,.q�..t«;r„.,,.i,
FEE INFORMATION
Sewer Connection: Number of Buildings X (times) $50 (pa bldg) = $
TOTAL FEE
* One permit required for each separate building, shop, garage, etc., that will be connected to the sewer.
• Condos, townhouses, & 2- 3- and 4-plexes require 1 permit per address/stub.
• Multiple buildings (apartments, industrial complexes) require 1 permit per building.
(For situations not covered here, call the County Utilities Division (4)456-3604)
!/Q
APPLICANT SIGNATURE: ( i i�� Date: tP / 4
flans
Spokane County Division of Buildings
West 1026 Broadway Avenue * Spokane, Washington 99260
PHONE: (509) 456-3675 * FAX: (509) 324-3198 * TDD: (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.
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