2004, 11-04 Permit App: BLD-04-08124 Plumbing ReversalProject Address: Lam. / T q,? Q /"!IS si c
Owner: I -0E eA (uATe c i PE -E
Mailing Address: -Po &x b y
Contractor.
Mailing Address:
PLUMBING PERMIT APPLICATION
City of Spokane Valley Community Development Department
BuiffiingDivtsion
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
Pyne: (509) 688-0036; Fax: (509) 688-0037
FOR INSPECTIONS, CALL. (509) 688-0054
•
Permit Use:
Phone (Daytime Contact):
W4 c1c1c3 7
• City State Zip Code
License #: Phone #: i
City
State Zip Code
DESCRIPTION OF WORK
#OF
UNITS
COST
TOTAL
AMOUNT
TOILETS
WATER CLOSET BIDETS
X
56.00
2 URINALS
$6.00
3 TUBS
$6.00
4 SHOWERS (PER TRAP) BATH, STAU, ONSITE BUILT
SINKS
IAVSIBASINS, BAR FLOOR
KITCHEN, LAUNDRY, UTILITY,
JANITOR. PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
56.00
56.00
DISHWASHER
$6.00
7 CLOTHES WASHER
8 GARBAGE DISPOSAL
X
X
$6.00
56.00
9 WATER SOFTENER
X
56.00
10 ELECTRIC HOT WATER TANK NOTE: W GAS, SEE MECHANICAL
11 FLOOR DRAINS
AREA, CASE, COIL TRENCH,.
CONDENSATE
X
$6.00 =
$6.00
12 ROOF DRAINS/OVERFLOW DRAINS
$6.00
13 FOUNTAINS, DRINKING
$6.00
14 WATER PIPING/DRAIN-IN WASTE, . INSTALLATION, ALTERATION,
VENT, PLUMBING, REVERSAL
15 SEWAGE EJECTOR
16
17
18
19
20
REPAIR, REVERSALS
GRIME SUMP PUMP
METHOD OF PAYMENT:
CHECK ❑ VISA
EXPIRES:
❑CASH ,L
DATE
❑ MASTERCARD
BANKCARD NUMBER
AUTHORIZED SIGNATURE: c7 W
tz.„
X
$6.00
56.00
rCo
SUBTOTAL
$6.00
56.00
56:00
56.00
PROCESSING FEE
535.00
TOTAL PERMIT FEE DUE:
1
1
1
SpomNE COUNTY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 14918 E MISSION AVE
Parcel Number: 45141.1 101
Subdivision:
Block: Lot:
Zoning: UNK Unknown
Owner: GUARDIPEE, LUE RAE
Address: PO BOX 364
VERADALE, WA 99037 -
Building Inspector: BOBBY STONE
Water Dist:
Project Number: 04008300 Inv: 1 Issue Date: 11/4/2004
Permit Use: SEWER CONNECTION - VERADALE/DUPLEX
Applicant: GUARDIPEE, LUE RAE
PO BOX 364
VERADALE, WA 99037 -
Contact: GUARDIPEE, LUE RAE
PO BOX 364
VERADALE, WA 99037 -
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Phone: (509) 926-1053
Phone: (509) 926-1053
Rear:
Permits
Sewer Connection Permit
Contractor: WICKER CONSTRUCTION License #: WICKECL009N3
SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main
sewer. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries,
including those related to trench safety.
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
11/4/2004 6665 $100.00
Processed By: SHATTO, JULIE
Printed By: WENDEL, GLORIA Page 1 of 1
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DATE INSTALLED 7/2 57 /0 3
STUB: DIA. 4 TYPE
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NOTE: WHERE POSSIBLE MAKE TIES TO TOPO SHOWN ON DRAWING
PROJECT NAME:
REF. DRAWING NO. �!'9
FILE NUMBER:
PARCEL:
STREET:
ADDRESS:
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LME NO.
STA. OF AND DIRECTION TO /4M -MAidj •
NEAREST MANHOLE '¢ /7.45
INVERT EL 2.043` 3 9
DEPTH FROM NATURAL
GROUND TO
LOCAL B.M.
DESCRIPTION OF LOCAL B.M. AlN
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PIPE GRADE: 2 3 ®/a'
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HOUSE TYPE: FAN BAs�',-
4.0 REMARKS
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Scanned In: 1/12/2004 by SH