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1994, 03-01 Permit App: 94001615 RemodelI3uilding Information b APPLICATION WORKSHEET General Information lob address i 3 25 ouc f,.,,/d 6P Parcel number flet 12,055 T11mg addresp/ s 0 /ed 32s Yl my Site Information Phone le to Legal escnptlon dCSC- S --Property llut � Cyd p�.ing Second Ilmr i--) Sit- Stoes IIL�t (,plical Material -Water DlstrlctNumber Inspector Ol: I�ilwidlh .. Dwellings 13 dings -Propertysae OIA window area Zone . - .. ;. ... Project Information 1 Crlllll SC iscr/(�µ, New Adddlon Remodel Change of use sod olo 654 welting mots 1 llut � Cyd p�.ing Second Ilmr i--) Sit- Stoes IIL�t (,plical Material rOcculumlo mldlugaunensmns Tonal square tootage Tlaltcal'ging Sprinkler system Square Mob breakdown lain floor Heat source Oncmcred /cmrredl ea Second Ilmr Other Fuusrd basement - oor vrls to ,asentente< • • 0 o u -value urge Furnace elhcency Contractor Informationii I leating and insulation information f It-values) Heat source at cel mg au led ceding hove glade wall— Below grade wa 1 - oor ab on grade 0 o u -value Wiii1ow Furnace elhcency OIA window area ,00 OOr area - 13uddrigicontnctor/'r�{ft // r/1� j-k /p Pluming contractor License nwnher Phone License mtmArtr t Phone Th1TILnn�dressS //y *c- Tiihng a—li dress City. state, zip CIO.siate. zip A« L? -,a 9 -t is I Icali ng contractor Other / Lender License nunsPer Mailing address Phone i -License number Phone -Wiling address -City, state, zip may, stale, zip / PROJL'Cr CONTACT t'IIONE Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 PLUMBING PERMIT APPLICATION PROJECT ADDRESS: OWNER: PHONE: MAILING ADDRESS: CONTRACTOR: (street) (city/state) (zip) LICENSE: PHONE: MAILING ADDRESS: (street) (city/state) SIGNATURE: SPOKANE COUNTY DIVISION OP BUILDINGS WEST 1026 BROADWAY AVENUE • SPOKANE, WA 99260 • (509) 456-3675 IMAPIEFEPLUMPEIUtH ND PLUMBING FIXTURES DESCRIPTION DETAIL # OF UNITS MULTI- PLIED BY COST NIT - •UAL! AMOUNT BOZ TOILETS WATER CLOSETS. BIDETS X $6 = $ 603 URINALS - x $6 = $ BO4 TUBS BATH, JACUZZI, SPA. GARDEN x $6 = $ B05 SHOWERS pertra. BASE, STALL, ON—SITE BUILD X $6 = $ 1306 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X—RAY. FOOD PREP/CULINARY/MEA / x $6 = $ 607 DISHWASHER - x $6 = $ B08. CLOTHES WASHER - x $6 = $ 1309 GARBAGE DISPOSAL/GRINDER - x $6 = $ BIO WATER SON IENER - x $6 = $ 1311 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank. see mechanical) x $6 = $ 1312 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE x $6 = $ B13 ROOF DRAINS/OVERFLOW DRAINS ea. - x $6 = $ B14 FOUNTAINS, DRINKING - x $6 = $ 1315 WATER PIPING/DRAIN-WASIE-VENT INSTALLATION, ALTERATION OR REPAIR x $6 = $ 1316 SEWAGE EJECTORS GRINDER. SUMP PUMP x $6 = $ B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOPER, CARBONATOR, SWAMP COOLERS x $6 = $ 1318 CROSS- CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, AND R.P.B.P.D. FOR: VATS, SUMPS, TANKS, BOILERS. & SPRINKLER SYSTEMS X $6 = $ 13.19 INTERCEPTORS GREASE TRAP, SAND TRAP. CHEMICAL HOLDING TANK x $6 = $ 1320 MEDICAL GAS . routlet/bottlestation NITROUS. OXYGEN x $6 = $ B21 MISCELLANEOUS FIXTURES x $6 = $ NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ SIGNATURE: SPOKANE COUNTY DIVISION OP BUILDINGS WEST 1026 BROADWAY AVENUE • SPOKANE, WA 99260 • (509) 456-3675 IMAPIEFEPLUMPEIUtH ND DEPARTMENT OF LABOR AND INDUSTRIES THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A REGISTRATION NUMBER EXPIRATION DATE C.:.F 7, I. 374(3 ,...7/1 -1/,'. - .i: F ::..; I.. : [..) AT : ;La/ 23/•:--: C?A5 Chr5.1:9,uCTIG,, s 1414 HCh•r SPOK.4k1F. 11; INC Wel. 99212 STATE OF WASHINGTON 11 Hz•:. F625-052-00013-92) S.&&,-041011% • ACOMebileas acts/ass