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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 / ��L�/, 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