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2012, 09-18 Permit App: BLD-2012-1611 Plumbing FixturesSpokaane ,�sMMlley Community Development Plumbing Permit Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 w\cw.spokancval1ev.or2.co n Application ❑ Commercial Mail or Fax To: Norm'S Excavating, Inc. 17666 N PO Box 574 Veradale, WA 99037 Fax: 892-0432 WVC 6 6l06 'el 'ds 9wil P1A!13 PERMIT NUMBER: PERMIT FEE: Residential a)5 SITE ADDRESS; 6119 E Moreland Building owner DESCRIPTION OF WORK Name: Babin Phone: 534-3211 Fax: COST Address: SAME Citi: State: Zip: Contractor WATER CLOSET, BIDETS Narne: Norm's Excavating, Inc Phone: 509/928-0580 Fax: 509/892-0432 Address: PO Box 574 City : Veradale State: WA Zip: 99037 License No: NORMSEI972BM City Business License No: X Contact = Name: Sheila Gibbons Phone: 928-0580 AUTHORIZED SIGNATURE: a•d • rr: ZEt.f2RRRfR utzene3xsw-Jou REVISED 8/26105 Pel : ren T (.11. .J�.-. DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6.00 = 2 URINALS X 56.00 = 3 TUBS X $6.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT X $6.00 = 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT X $6.00 = 6 DISHWASHER X $6.00 = 7 CLOTHES WASHER X 56.00 = 8 GARBAGE DISPOSAL X $6.00 = 9 WATER SOFTENER X 56.00 = 10 ELECTRIC HOT WATER TANK NOTE: 1F GAS, SEE MECHANICAL X $6.00 = 11 FLOOR DRAINS AREA,CASE, COIL, TRENCH, CONDENSATE X 56.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS, DRINKING X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS 1 X $6.00 = 6.00 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X 56.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER X $6.00 = 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X 56.00 = 1B INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS (per outlet) NITROUS, OXYGEN X 56.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X 56.00 = 21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X 515.00 METHOD OF PAYMENT: Q CASH ❑ .CHECK Card# See Cover Sheet ® VISA 0 MASTERCARD SUBTOTAL 6.00 PROCESSING FEE 8.00 EXPIRES: TOTAL PERMIT FEE DUE: 14.00 AUTHORIZED SIGNATURE: a•d • rr: ZEt.f2RRRfR utzene3xsw-Jou REVISED 8/26105 Pel : ren T (.11. .J�.-.