2006, 06-26 Permit App: 06002483 Plumbing FixturesProject Number: 06002483 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/26/2006 Page 1 of 2
Project Information:
Permit Use: (3) TOILET (1) TUB (3) SINK (1) DW (1) WASHER
(1) DISP (1) DRAIN
Setbacks: Front Left: Right: Rear:
Contact: FREESTONE PLUMBING, INC
Address: 5525 E DICKINSON LN
C - S - Z: COLBERT, WA 99005
Phone: (509) 953-8221
Group Name:
Site Information: Project Name:
�,-,,,,. M a Ods . 4,`"FROMW, N .: -r .: s ... ter.....,
Plat Key: Name: ORCHARD PARK ADD District: Nort
Parcel Number: 45063.4426 Block:
SiteAddress: 3304 N PARK RD
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 6,829 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Permits:
Contractor: FREESTONE PLUMBING INC
Address: 5525 E DICKINSON LN
COLBERT, WA 99005
Item Description
TOILETSBIDETS
SINKS
TUBS
DISH WASHERS
GARBAGE DISPOSAL
CLOTHES WASHER
FLOOR DRAINS
MISCELLANEOUS FIXTURES
PROCESSING FEE
Units
1
3
1
1
1
1
1
3
1
Operator: MT Printed By: MT
Lot:
Owner: Name:
Address:
EVANS CONSTRUCTION & REM
17802 N LARRY LN
COLBERT, WA 99005
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Plumbing Permit
Firm: FREESTONE PLUMBING INC
Phone: (509) 238-6705
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
SELECT
Fee Amount
$6.00
$18.00
$6.00
$6.00
$6.00
$6.00
$6.00
$18.00
$35.00
Permit Total Fees: $107.00
Print Date: 06/26/2006
' Project Number: 06002483
Notes:
Inv: 1 Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 06/26/2006 Page 2 of 2
Payment Summary
Permit Type
Plumbing Permit
Fee Amount Invoice Amount
$107.00
$107.00
$107.00 $107.00
r, g.°.tP'.liMM 4. : u`A , ... - .A+#',5,;.'x ..M&YuAMM A_ ; A A.':e-£' A
Amount Paid
$0.00
$0.00
Amount Owing
$107.00
$107.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: MT Printed By: MT
Print Date: 06/26/2006
Community Development
Sfoggie
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.ore
Plumbing Permit Application
(1 Commercial
PERMIT NUMBER: lam' ‘(
PERMIT FEE:
[l Residential
SITE ADDRESS: 33.44 N .
Building Owner
Name: SCoTr E✓.4/V5 Co/V.57'
Phone: IT" _ 483o Fax:
Address: /7 Boz. N . L47
City: G'D L B E?L.T State: •
Zip: 110 05
Contractor
Name: F/26EST0.vE PLNA-fB/NCT/ /A/G •
Phone: 953 '8Z2/ Fax: (5201 3
2 38 - /7aa.
Address: 55 25 C. 17 /C_se/,rscud W.
City: C0L43ER — State: wA
Zip: eNo05
License No: FLEE SP= �G7d /
City Business Lic:
Contact _ ..
Name. JA50,1 7YNl�LJ01M
Phone: (5o9) 9s 3 —82Z 1
DESCRIPTION OF WORK
# OF UNITS
X
COST
TOTAL AMOUNT
1
TOILETS /
WATER CLOSET, BIDETS
X
$6.00
2
URINALS
X
86.00
3
TUBS /
9
x
$6.00
4
SHOWERS (PER TRAP)
BATH, STALL, ONSITE BUILT
X
$6.00
5
SINKS
/1/
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
3
X
86.00
/8. av
6
DISHWASHER
X
86.00
7
CLOTHES WASHER /
/
X
$6.00
6 0,0
8
GARBAGE DISPOSAL /
/
X
86.00
9
WATER SOFTENER
X
86.00
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
86.00
11
FLOOR DRAINS /
AREA, CASE. COIL TRENCH,
CONDENSATE
/
X
$6.00
12
ROOF DRAINS/OVERFLOW DRAINS
X
86.00
13
FOUNTAINS, DRINKING
X
$6.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
86.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
86.00
16
WATER USING DEVICE
/1/
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
3
X
$6.00
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
x
$6.00
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6.00
19
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
X
$6.00
20
MISCELLANEOUS PLUMBING FIXTURE
X
$6.00
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
X
815.00
METHOD OF PAYMENT:
MASH ❑ CHECK li/ISA 0 MC
Card#
AUTHORIZED SIGNATURE:
REVISED $
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
TOTAL PERMIT FEE DUE:
835.00