2003, 05-22 Permit App: BD-03-482 Plumbing FixturesETHOD OF
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Spokane
,,/1Valley
Plumbing Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For InspectIons,'call 509-688-0054
60 W2 -
PROJECT
ADDRESS:( -03 5 ZA--
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PERMIT
USE:
OWNER:d e r "e;,,,,.../
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PHONE (Daytime Contact): I�
MAILING ADDRESS ,6'e 5 /L ee49/
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(street) (city/state) (ZIP)
CONTRACTOR, I
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LICENSE #: /�
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MAILING ADDRESS:
9 eV 7 -- .a,, t. e
PHONE #:
,"", . s 9 Pay
(street) (city/state) (ZIP) •
PLUMBING FIXTURES
NKCARD NUMBER
ITHORI ZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
/
X
$6
-
te
2
URINALS
X
$6
-
3
TUBS
X
$6
-
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
/
X
$611
5
SINKS
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
/(19
X
$6
-
6
DISHWASHER
X
$6
-
7
CLOTHES WASHER
X
$6
.-
8
8
GARBAGE DISPOSAL
X
$6
-
9
WATER SOFTENER
X
$6
-
10
ELECT. 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
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
/
X
$6
-
If
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, TANKS, BOILERS
X
••
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
-
PAYMENT
CHECK
VIM
L _ ._:___'
SUBTOTAL:
�1
PLUS PROCESSING FEE:
$35.00
■ ■
cvnrn Tr.
TOTAL PERMIT FEE DUE:
5 / 00
NKCARD NUMBER
ITHORI ZED SIGNATURE:
POKANE' COUNTY DIVISION OF BUILDING
ND. CODE ENFORCEMENT.
X26 WEST BROADWAY' AVENUE • POliANE,' WA 99260-005
Site Information
Project Information
Site Address: 823 S PARK RD
SPOKANE, WA 99212
Parcel Number: 45193.0120
Subdivision: BEVERLY HILLS ADD
Block: Lot:
Zoning: UR -3 Urban Residential 3.5
Owner: FRENCH, ROGER
Address: 823 S PARK RD
SPOKANE,WA 99212
Building Inspector: BOBBY STONE
Water Dist:
Project Number: 03003573 Inv: 1 Issue Date: 5/22/2003
Permit Use: SEWER CONNECTION - WOODLAWN
Applicant: COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Contact: COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION
License#: COURCC*181R7
SEWER CONNECTION r 1 $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
NOTIFIED. CALL BEFORE YOU DIG AT LEAST2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer compliwith all requirements of the Washington State Dept of Labor and Industries, including
those related to trench safety.
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date
5/22/2003
Processed By: BURRIS, ROBIN
Printed By: WENDEL, GLORIA Page 1 of 1
Receipt #
3211
Payment Amt
$100.00
PERMIT
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