Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1985, 09-27 Permit App: 00008293 Plumbing Fixtures
W 1- X X LL 0 lD 2 Z 1 PLUMBING PERMITTAPPLICATION WORKSHE PLEASE;PRINT:AND.COMPLETE ONLY THOSE PARTS OF THE FORNI:N YOU.UNDERSTA• . 1 Ownnerr''sNaName/:-;- "-".. :°' (last)- - (First) • (M) -' / C),/`' a IL' - .: Department Ude Only Project No. 0 a 2 Project Address (Not Malting Address) Space- / 0 -7 // at, /3 //o A- 41 3 City/Community State; Subdivision/Plat Name . 4. -Assessor Parcel No. Li2 - 07 .": C42/1/2_ , Ltd Block 16 Contractor Firm Name - . - RIVER '_C ITY. PLUMBING --INC. Street Address . -.N .1 1 1' -Vista Bldg. 7,.. D 17 Zip -- 99212 - City. I Spokane, - State. - - -. „Wa.. .. phone - - . (:' ;) 924-8028 18. Contact Person - .' " '. - - - .Audrey Hobeck -, License No.-? "T , -;:'. • [;` ^ '. ,. ' : . Phone It different than above •... . .. ' '- Ri-VERCP190T;A. ' "".: .•'. 6 Owner/Agent (If different than N1 above).:. ..;. �,'„� ;, 's, s.-;:;,. • Business' Address ' . .9 Zip' City /. State` , Phone 15 Describe Work:, - New•. ❑ ; - -- - Addition/Alteration0 ' Replace/Repair ❑ -_ . Total Number'-� o/ Fixtures:' , s: 10 Applicant Name Street Address . 11 Zip -.. _ _ ., ,City - State • . Phone . • - ” . . . 8 Bar Sink(s): -" - - - Drinking Fountain(s): . Floor Dram(s): • ra�7 Washing Machine(sp , 10 Dsh Wshr(s):Sr Garb Disp(e)l Klt Sink(s): /7 Lndry Tray(s) Sew Eject By 11 Urinal (e l: Wt Closet(s): r ' Lav(s): • Shower(s). I Tub(s)' 1 Bidet(s): Other: Type; - 12 Waste/Grease Interceptor(s): - - - 13 Sewer Y Septics neaitn No : 14 Electric Water Heater(s): - Drains -Roof. - 15 REPAIR OR ALTERATION: Drainage, Vent, Water Piping/Treatment: Y N" X16 •Lawn Sprinkler SYstem(s), Including backflowdeviceonanyone meter: 17 Vacuum breakers or backflow devices In enema of line 16: 1-5:.:, (Or) 5 +: I certifythat the above information_as submitted ...,, e " rioAcl -. - ' ......g . that � - by-me-lsarue and correct and further;, agree halLp�a;, .',visions of laws and ordinances, governing this type of work, including inspection requirements ,will'6e'com-'> plied:.with, whether -specified' -herein or not: The-granting'of a;permit does` not; presume to.glve;authoritycto. t.'.violate'or:cancel the provisions of any other state of local •laws'! regulating construction or:the performance of : Jconstruction: :.;SIGNATURE'OF-:':>, OWNER ORAGENI:t