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1995, 01-30 Permit App: 95000457 Plumbing Fixtures
PLUMBING PERMIT APPLICATION 5 PROJECT ADDRESS: OWNER: e�L ( � (a, ' PHONE: 2—�� S f MAILING ADDRESS: 5 - O 1. 4 - (C Vic/ c ) CONTRACTOR: a �t�Zca� (street) (city/state) (Zip) LICENSE: PHONE: MAILING ADDRESS: (street) (city/state) (zip) TcI. No. (509) 456-3675 * Fax No. (509) 456-4703 * TDD No. (509) 324-3166 \MASTER\PLUMPERM.I IN D PLUMBING FIXTURES DESCRIPTION DETAIL # OF UNITS MULTI- TURD BY COST /UNIT EQUALS AMOUNT 1302 TOILETS WATER CLOSETS, BIDETS 1 x $6 = $ 1303 URINALS — x $6 = $ 1304 TUBS BATH, JACUZZI, SPA, GARDEN X $6 = $ 1305 SHOWERS (per trap) BASE, STALL, ON—SITE BUILD 1A x $6 = $ 1306 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X—RAY, FOOD (PREP/CULINARY/MEAT) • X $6 = $ 1307 DISHWASHER —i/ x $6 = $ B08 CLOTHES WASHER — / x $6 = $ 1309 GARBAGE DISPOSAUGRINDER — x $6 = $ B10 WATER SOFTENER — x 86 = $ B11 ELECTRIC HOT WATER TANKS (NOTE: if pas water tank, see mechanical) X $6 = $ 1312 FLOOR DRAINS AREA, CASE, COI, TRENCH, CONDENSATE 1 X 86 = $ 1313 ROOF DRAINS/OVERFLOW DRAINS (ea.) — x 86 = $ 1314 FOUNTAINS, DRINKING — x 86 = $ 1315 WATER PIPING/DRAIN—WASTE—VENT/ PLUMBING REVERSALS INSTALLATION, ALTERATION, REPAIR, REVERSALS 1 x $6 = $ B16 SEWAGE EJECTORS GRINDER, SUMP PUMP x $6 = $ 1317 WATER USING DEVICES ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLERS X 86 = $ 1318 CROSS—CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, - AND R.P.B.F D. FOR: VATS SUMPS, TANKS, BOILERS, & SPRINKLER SYSTEMS X $6 = $ 1319 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK x $6 = $ 1320 MEDICAL GAS (per outlet/bottle station) NITROUS, OXYGEN x $6 = $ 1321 MISCELLANEOUS FIXTURES x $6 = $ Spokane trnf NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE: �t!E%R / ` Subtotal PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ 6,/,UV County Division of Buildings W ►trna,tu,av Avenue * Snnkane_ WA 99260 PLEASE MAKE CHECKS PAYABLE TO: SPOKANE COUNTY PERMIT CENTER' TcI. No. (509) 456-3675 * Fax No. (509) 456-4703 * TDD No. (509) 324-3166 \MASTER\PLUMPERM.I IN D