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2012, 02-27 Permit App: BLD-2012-0037 Plumbing Fixtures
Feb 21 12 10:26a • A Community Development Norms Excavating Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 ‘vvo.v.sookanevallev.org.com Plumbing Permit Application 5098920432 Mail or Fax To: Norm's Excavating, Inc. PO Box 574 Veradale, WA 99037 Fax: 892-0432 n Commercial P.5 Qu)_Zok2- oO3r7 PERMIT NUMBER: PERMIT 1 ±: ® Residential SITE ADDRESS: 4715 N Progress Bniidin8 owner DESCRIPTION OF WORK # OF UNITS Name: Darnell Phone: 280-5223 Fax: = TOTAL AMOUNT Address; SAME City: State: Zip: Contractor 36.00 = 6.00 Name: Norm's Excavating, Inc Phone: 509/928-0580 Fax: 509/892-0432 Address: PO Box 574 City: Veradale State: WA Zip: 99037 License No: NORMSEI972BM City Business License No: Contact X $6.00 = Name: Sheila Gibbons Phone: 928-0580 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT AUTHORIZED SIGNATURE: _ _ .; <. ? 7 il? Received Time Feb. 21. 2012 9:51AM No, 6497 REVISED8/26/05 DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS 1 X 36.00 = 6.00 2 URINALS X 36.00 .-- 3 3 TUBS X $6.00 = 4 SHOWERS (PER TRAP) BATH, STALL, ON-SITE BUILT 1 X 36.00 = 6,00 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT 1 X $6.00 = 6.00 6 DISHWASHER X $6.00 = 7 CLOTHES WASHER X 36.00 = 8 GARBAGE DISPOSAL X $6.00 = 9 WATER SOFTENER X 36.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X 36.00 = 13 FOUNTAINS, DRINKING X 36.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS 1 X $6.00 = 6.00 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER X 36.00 = 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 DISPOSALISYS X 320.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X 315.00 = METHOD OF PAYMENT: 0 CASH 0 CHECK Card# See fax cover ® VISA El MASTERCARD SUBTOTAL 24.00 PROCESSING FEE ' �t - f)` _,3,00- ,Y�" j7 V� EXPIRES: 03/2012 TOTAL PERMIT FEE DUE: 24.00 AUTHORIZED SIGNATURE: _ _ .; <. ? 7 il? Received Time Feb. 21. 2012 9:51AM No, 6497 REVISED8/26/05