2013, 04-11 Permit App: BLD-2013-0614 Plumbing FixturesApr 10 1.3. 08:53a Norm's Excavating, Inc
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Permit Center
11707E Sprague Ave, Suite 106
Spokane Valley, WA 99206
Community Development (509)688-0036 FAX: (509)688-0037
www,s, ikanevalrey'.orn.cc m
Plumbing Permit Application
Mail or Fax To:
Norm's Excavating, Inc.
P.O. Box 30873
Spokane, WA 992.23
Fax 509/448-4805
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PERMIT NUMBER:
PERMIT FEE: z-
❑ Commercial ® Residential
SITE ADDRESS: 820 N Ravalll
Building owner
DESCRIPTION OF WORK
Name: Iroward
Phone: 999-5337
Fax:
Address: SAME
City: State:
Zip:
Contractor
WATER CLOSET, BIDETS
Name: Norm's Excavating, lnc
Phone: 509/928-0580
Fax: 5091448.4906
Address: PO Box 30873
City : Spokane State: WA
Zip: 99223
License No: NORMSE1972BM
City Business License No:
X
Contact
,-
Name: Tina Lingo
Phone: 928-0580
Card* See Fax cover
AUTHORIZED SIGNATURE:
EXPIRES:
TOTAL PERMIT FEE DUE:
43.00
IiEVLSED 826'05
DESCRIPTION OF WORK
ij OF UNITS
X
COST
a
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6.00
=
2
URINALS
X
55.00
,-
3
3
TUBS
X
56.00
=
4
SHOWERS (PER TRAP)
BATH. STALL, ON-SITE BUILT
X
56.00
=
5
SINKS
LAVS/BASINS. BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY,
X-RAY, FOOD. PREP/CULINARY MEAT
X
56.00
.-
6
DISHWASHER
X
56.00
=
7
CLOTHES WASHER
X
58.00
=
8
GARBAGE DISPOSAL
X
56.00
=
9
WATER SOFTENER
X
56.00
=
10
ELECTRIC HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
56.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
56.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
56.00
=
13
FOUNTAINS, DRINKING
X
S6.00
=
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
56.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X
56.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND RP.B.P.D. FOR: VATS, TANKS, BOILERS
X
56.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
58.00
=
19
MEDICAL GAS (per outlet)
NITROUS. OXYGEN
X
$0.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
56.00
=
21
PRIVATE SEWAGE DISPOSAUSYS
X
$20.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
515.00
=
METHOD OF PAYMENT:
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SUBTOTAL
6.00
PROCESSING FEE
Card* See Fax cover
AUTHORIZED SIGNATURE:
EXPIRES:
TOTAL PERMIT FEE DUE:
43.00
IiEVLSED 826'05