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