1994, 03-01 Permit App: 94001615 RemodelI3uilding Information b
APPLICATION WORKSHEET
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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
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INC
Wel. 99212
STATE OF WASHINGTON
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