2003, 05-09 Permit App: BD-03-374 Plumbing Reversal*Wane�
PLUMBING PERMIT APPLICATION
BA. 03- 3-14
PROJECT�,
ADDRESS: 70
�c• if
DETAILS
# OF UNITS
PERMIT
USE: `/ cjkyQi q
�3 ,Ai
OWNER: e r4 'off;-J-fet1j4,5
i��
EQUALS
PHONE (Daytime Contact); 2� 0 7j /
`"
MAILING ADDRESS: Po3 �,e
TOILETS •
WATER CLOSET, BIDETS
(street)
X
%
(city/state) .v-rsiC'"g2 ,.viz g (zip)5,7).17..-
).J 2-
CONTRACTOR:
CONTRACTOR:LICENSE
/
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2
URINALS
#:
4 2 6 c G �� g e�
MAILING ADDRESS:
q ii 5.--,/
✓ /U11M
+�'
=
PHONE #:
_) 1_ ��-,- 7922.
TUBS
(street)
{city/state) (zip)
PLUMS/NG FIXTURES
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
' AMOUNT
1
TOILETS •
WATER CLOSET, BIDETS
X
$6
2
URINALS
X
$6
=
3
TUBS
X
$6
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6
10 •
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X
$6
6
DISHWASHER
X
$6
=
7
CLOTHES WASHER
X
$6
=
8
GARBAGE DISPOSAL
,
X
$6
-
9
WATER SOFTENER
X
$6
=
10
ELEC HOT WATER TANK
NOTE: IF GAS SEE MECHANICAL
X
$6
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6
=
12
FOUNTAINS, DRINKING
X
$6
=
13
WATER PIPING/DRAIN-IN
WASTE, VENT,
PLUMBING REVERSAL
INSTAL , LTE TION,
REPAI , REVERSA
X
$6
=(..,k
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLER
X
$6
=
16
CROSS CONNECTION
DEVICE
VACUUM BREAKER, CHECK •
VALVE, AND R.P.B.P.D. FOR:
VATS, SUMPS, TANKS, BOILERS
X
$6
=
17
SPRINKLER SYSTEM
X
$25
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6
-
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
•
20
MISC PLUMBING FIXTURE
X
$6
•
os1,,-. •:y. In
SUBTOTAL
r
lP s
■ CASH MI CHECK MI
. • "
PLUS PROCESSING
FEE
$35.00
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD
•
DATE, II )'l'D
TOTAL PERMIT FEE
DUE
it
I - 00
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SPOKANE COUNTY DIVISION OF .BUILDING'
DE ENFORCEMENT
poljANE, WA
SPO tc COURTY'
VENUE •
Site Information
Project Information
Site Address: 903 N PARK RD
SPOKANE, WA 99212
Parcel Number: 35131.1196
Subdivision: EAST SPOKANE
Block: Lot:
Zoning: UR 3
Owner: ANDRENS, BECK
Address: 903 N PARK RD
SPOKANE, WA 99212
Building Inspector: NONE
Water Dist:
Project Number: 03003156 Inv: 1 Issue Date: 5/7/2003
Permit Use: SEWER CONNECTION . BASCETTA
Applicant: BAILEY'S CONSTRUCTION
E. 3707 28TH
SPOKANE, WA 99223 Phone: (509) 532-0705
Contact: BAILEY'S CONSTRUCTION
E. 3707 28TH
SPOKANE, WA 99223 Phone: (509) 532-0705
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: BAILEY -S CONSTRUCTION
License #: BAILEC*088JW
SEWER CONNECTION
$85.00 PROCESSING FEE
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
$15.00
$100.00
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
NOT1FIND. 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.
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Processed By: BURRIS, ROBIN
Printed By: WENDEL, GLORIA
Tran Date
5/7/2003
Page 1 of 1
Receipt #
2867
Payment Amt
$100.00
PERMIT