1996, 08-08 Permit App: 96006375 Plumbing FixturesPLUMBING PERMIT APPLICATION
Gro -o3 X15
1<l ti 0-P Sap K/9 foE
:ONTRACTOR:
{AILING ADDRESS:
(street)
PO 60x 0,sqicic
�K,UE 99a�-(vw99
(street) (city/state)
LICENSE: eTtt sp.' 4_ i'-3
PHONE:
(zip)
SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDINGS
WPC!" 1 (Y1# 1112 n A MI/ A If A [ITrATT TT: • CO/lir A1S1 Ali A 00/ Aft • /<r /c! 9<-.<
" •ittrr..
DESCRIPTION. y
r i .
DETAIL _•
:rrsz,
i•Czeo sr
, r4 C v- _
LltJJ ..:
: • Au
AMOUNT
•
4 TOILETS
1
x.:.i
6
=
$ : ,co
i URINALS
_
. x ....
_ 6 .
=
$
-.i TUBS
BAT .JACt¢ZISPA,GARDFTI
::x ...
•'..:.56
=
$
1` SHOWERS (per trap). : "_
BAs$aTAILO t-sriEstmn
z
S6 :'::=
$
1 :•SINKS -
=-
A-lbVSJBASIKS.BAR.FIAOR KITCEIfN
LAUNDRY. UTILI Y, IANiTOR PHOTO,
X-RAY, FOOD (PREP/C1JLD' ARY/MFAT)
I
,
x
_
/ V
•Y1-. DISHWASHER :..
x
$6
=
1.' CLOTHES WASHER
x
$6
=
' 1 ` GARBAGE DIISPOSAZ/GRINDER
-
x
$6
=
i1 WAILRSOFTENER
x
$6
=
3...:'
ELECTRIC HOT WATER TANKS
�NOTiw u�.nru a :u mom.=xii>
z
` $6
=
3 :. FLOOR DRAINS
ARE CASE coa. TREN(1i corrDENSATE
x
$6
=
C
ROOF DRAINS/OVERFLOW DRAINS (ea)
-
x
$6
=
5
3•I:' FOUNTAINS, DRINKING
-
x
$6
=
i
3 WATER PIPING/DRAIN-WASTE-VENT
INSTALLATION.ALTERATION OR REPAIR
x
$6
=
5
o SEWAGF E]ECTORS
GRD DER, SUMP PUMP f
x
S6
_
$ V F� n 0
t3. WATER USING DEVICES
-%
ICE AND/OR COFFEE MAKER-
HOSE Bffi, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
z
$6
=
$
S I:' CROSS—CONNECIZON DEVIt'FS
______________________
TANKS, 13 OILERS, & SPRINKLE R SYSTEMS
x
$6
=
5
B ' INIERC�PTORS
CHEMICAL HOLDING TANK
x
$6
=
S
3 .1 MEDICAL GAS r outietJbotilc station
x
$6
=
S
321 MISCELLAIv'LOUS FIXTURFS
x
$6
= IS
Subtotal 1 5,06
NOTE: MINIMUMPERMIT.FEE IS $35.00
PLUS: PROCESSING FEE $25.00
TOTAL PERMIT FEE DUE
5 y 3, 00
SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDINGS
WPC!" 1 (Y1# 1112 n A MI/ A If A [ITrATT TT: • CO/lir A1S1 Ali A 00/ Aft • /<r /c! 9<-.<