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1996, 06-03 Permit App: 96004044 Plumbing Fixtures PLUMBING PERMIT APPLICATION PROJECT ADDRESS: 1 2 I I �- \- MS OWNER: LANZCE G. DOUGLASS, INC. PHONE: (509) 483-6532 MAILING ADDRESS: 815 E. ROSEWOOD SPOKANE, WA 99208-5599 _ (street) (city/state) (zip) CONTRACTOR: GOLD SEAL MECH. INC. LICENSE: GOLDSM*290C4 PHONE: (509) 535-5944 MAILING ADDRESS: 5524 E. BOONE SPOKANE, WA 99212 _ (street) (city/state) (zip) PLUMBING FDC IURES #OF MUM- COST DESCRI_PIIQN I DETAIL , UNITS nanar !UNIT _aovAu AMOUNT 202 TOILETS WATER CLOSETS.BIDETS I 3 x $6 = $ B03 URINALS - x S6 = 5 B04 TUBS BATH,JACUZZI,SPA,GARDEN x $6 = $ B05 SHOWERS(per trap) BASE.STALL.ON-SITE BUILD X $6 = S 4 yi B06 SINKS I.WS/BASINS.BAR.FLOOR.KITCHEN. x S6 = S LAUNDRY.UTILITY.JANITOR.PHOTO. X-RAY.FOOD(PREP/CULINARY/MEAT) B07 DISHWASHER - 1 x $6 = S B08 CLOTHES WASHER - 1 x _ S6 = S 1309 GARBAGE DISPOSAL/GRINDER - 1 x $6 = $ B10 WATER SOFTENER _ - x S6 = S 111 ELECTRIC HOT WATER TANKS (NOTE: Iles water task.tee..e►.■tol) x $6 = S 1312 FLOOR DRAINS AREA.CASE,COIL TRENCH.CONDENSATE x $6 = $ 1313 ROOF DRAINS/OVERFLOW DRAINS(ea.) - x S6 = $ 1314 FOUNTAINS.DRINKING - x $6 = $ B15 WATER PIPING/DRAIN-WASTE-VENT INSTALIATION,ALTERATTONORREPAIR x S6 = S 1316 SEWAGE EJECTORS GRINDER.SUMP PUMP X _ $6 = S 1317 WATER USING DEVICES D/OR COFFEE MAKER, x S6 = S HOSE B ,STEAMER.PROOPER. ATO R.SWAMPCOOLERS (a'' - B18 CROSS-CONNECTION DEVICES VACUUM BREAKER.C1 VALVE; \\ x $6 = S AND R.P.B.P.D.FOR: TS.SUMPS, 5) TANKS,BOILERS SPRINKLERS-If-STEMS 4 BI9 INTERCEPTORS GREASBTRAP,S x S6 = S CHEMICAL HOLDING TANK B20 MEDICAL GAS(per outlet/bottle station) NITROUS.OXYGEN x $6 = S B21 MISCELLANEOUS FIXTURES _ x S6 = S Subtotal NOTE: MINIMUM PERMIT FEE IS$35.00 PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE S SIGNATURE: SPOKANE COUNTY DIVISION OP BUILDINGS WEST 1026 BROADWAY AVENUE•SPOKANE,WA 99260•(509)456-3675 WA.TERWLUMPPRMJMO