2013, 04-11 Permit App: BLD-2013-0615 Plumbing FixturesApr 10 13 08:54a Norm's Excavating, Inc
Ad Permit Center
SpO"`l2ne 11707 E Sprague
ye Ave, S 106
Spokane Valley, WA 99200 6
(509)688-0036 FAX: (509)688-0037
Cammtmity Development www spokanevnl(cy orx.com
Plumbing Permit Application
Mail or Fax To:
Norm's Excavating, Inc.
P.O Box 30873
Spokane, WA 99223
Fax 5091448.4908
Finail TinaQennrn sovravatnn rim
❑ Commercial
509-448-4906
p.5
PERMIT NUMBER:
PERMIT FEE:
Residential
SITE ADDRESS: _1820 N MCKEE CT
Building owner
DESCRIPTION OF WORK
Name: Corey
Phone: 927-0308
Fax:
Address: SAME
City: State:
Zip:
Contractor
WATER CLOSET BIDETS
1
Name: Norm's Excavating, Inc
Phone: 509/928-0580
Fax: 509/446-4906
Address: PO Box 30873
City: Spokane State: WA
Zip: 99223
License No: NORMSEI972BM
City Business License No:
X
Contact
=
Name: Tina Lingo
Phone: 928-0580
AUTHORIZED SIGNATURE:
REVISED s26M5
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET BIDETS
1
X
56 00
=
6.00
2
URINALS
X
56.00
=
3
TUBS
X
$600
=
4
SHOWERS (PER TRAP)
BATH STALL. ON-SITE BUILT
1
X
$8.00
=
8.00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY. JANITOR. PHOTO,
X-RAY, FOOD PREP/CULINARY MEAT
1
X
5800
=
8.00
6
DISHWASHER
X
56.00
=
7
CLOTHES WASHER
X
58.00
=
8
GARBAGE DISPOSAL
X
$8.00
=
9
WATER SOFTENER
X
$8.00
10
ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
X
56.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$8.00
=
12
ROOF DRAINSiOVERFLOW
DRAINS
X
56 00
=
13
FOUNTAINS, DRINKING
X
58.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATON, ALTERATION, REPAIR,
REVERSALS
1
X
56 00
=
6 00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
56.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER. HOSE BIB.
STEAMER
PROOFER, CARBONATO R. SWAMP COOLER
X
56.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P D. FOR VATS TANKS. BOILERS
X
S6.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP.
CHEMICAL HOLDING TANK
X
56.00
=
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
56.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
58.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
520,00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
515.00
METHOD OF PAYMENT:
❑ CASH ❑ CHECK
Card# See Fax cover
El VISA C MASTERCARD
SUBTOTAL
24.00
PROCESSING FEE
37.00
EXPIRES:
TOTAL PERMIT FEE DUE:
61.00
AUTHORIZED SIGNATURE:
REVISED s26M5