1995, 10-06 Permit App: 95008173 Remodel 't - c-62
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSORS tax parcel number?
l 76 et. s. Pveg
Legal description as it appears on the property deed
TCt
R or OCCUPANT Phone
97- —<( Yp2O
Mailing address City,state Zip
7 Oct 5 t 4 p Joo \res 5 �- ��k�w�e °got �-a 4 1"4-
Who should we contact regarding this project? Phone
What work is being done under this perm't?
e-84
Lone Inspector district Property size Right of way width
a) 5)
Water district
0. a
a� m
Building Building height #of stories
Contractor Dimensions TOTAL SQUARE FOOTAGE
( ( 00
WA State Contractor license# Main floor area Unfinished basement area
Mailing address 2nd floor area Finished basement area
Architect/Engineer Garage area Size of decks,etc.
What is the heat source? What is the cost of your project?
Manufactured Home Sign
Width: Length: What is the square footage of How high is the sign?
the sign face?
Year: Make:
Installer Contractor
Wa State Contractor license# Wa State Contractor license#
Mailing address Mailing address
Relocation Fire Safety
Previous address Fire Sprinkler _ Tent _
Paint booth_ Fire Alarm _ Fireworks display _
VALUE
Contractor Contractor
WA State Contractor license# WA State Contractor license#
Mailing address Mailing address
r.• —.l .Storage Tanks Swimming Pool
wncie one) Above-ground Underground Size/gallons Private
Contents of tank(s) Size/gallons
Public/semi-private
Contractor Contractor
Wa State Contractor license# WA State Contractor license#
Mailing address Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in,its programs or activities.
. _
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER:---..-- .ki' )\ \ .. (V'''' -e PHONE:DAYTIME CONTACT
MAILING ADDRESS: flo 1 5 , ,t d 0 ce C---S
(street) (city/state) (zip)
CONTRACTOR: nr") --- 1(, ) l'^
(u \Di-4-D LICENSE:
PHONE:
MAILING ADDRESS: ii.q ( 8 2--it4 1`??M
(street) (city/state) (zip)
PLUMBING FEKI UkES #OF mum COST
DESCRIPTION I DETAIL UNITS LIED a /UNIT gouAu, AMOUNT
i1B TOILETS WATER CLOSETS.BIDETS i x $6 = $
.....,.:..,..
Esa URINALS - x $6 = $
b .i.TUBS BATH,JACUZZI,SPA,GARDEN i x $6 = $
Bo. SHOWERS(per trap) BASE,STALL,ON-SITE BUILD I x $6 = $
Bgi'SINKS LAVSMASINS,BAR,FLOOR,ICITCH , x $6 = $
LAUNDRY,UTILITY,JANITOR,PHOTO, 3-.....
.......
X-RAY,FOOD(PREP/CULINARY/MEAT)
DISHWASHER - x $6 = $
CLOTHES WASHER - x $6 = $
il30. GARBAGE DISPOSAL/GRINDER - x $6 = $
ttt.::;WATER SOFTENER - x $6 = $
B t ELECTRIC HOT WATER TANKS (NOTE: if gas water tank,see mechanical) x $6 = $
.....:,
11.V FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE x $6 = $
litl: ROOF DRAINS/OVERFLOW DRAIN - x $6 = $
FOUNTAINS,DRINKING - x $6 = $
BI WATER PIPING/DRAIN-WASTE-VE INSTALLATION,ALTERATION.REPAIR, X $6 = $
PLUMBING REVERSALS REVERSALS
BI SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $
B1 WATER USING DEVICES ICE AND/OR COI•tr.b MAKER, x $6 = $
HOSE BIB,STEAMER,PROOFER,
.:,..........:.:
.......
....... CARBONATOR.SWAMP COOLERS
131 CROSS-CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, X $6 = $
AND R.P.B.P.D.FOR:VATS,SUMPS,
111: TANKS,BOILERS,&SPRINKLER SYSTEMS
Dit INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $
CHEMICAL HOLDING TANK
02;MEDICAL GAS(per outlet/bottle stati NITROUS,OXYGEN x $6 = $
Di MISCELLANEOUS FIXTURES x $6 = $
NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal
PLUS: PROCESSING FE $25.00
.
SIGNATURE: TOTAL PERMIT FEE DU $...............
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PLEASE AIAM:titkowg4941FiRIpt
Spokane County Department of Building&Planning 3.$:06iiiii460.0flei6§mitogrtte$
1026 W.Broadway Avenue*Spokane,WA 99260
Tel.No. (509)456-3675*Fax No. (509)324-3198*TDD No.(509)324-3166
Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or activities.
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