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2012, 01-31 Permit App: 12000233 Plumbing Fixtures
Jan 31 12 11 : 44a Norms Excavating 5098920432 p. 2 Mail or Fax To: Norm's Excavating,Inc. PO Box 574 Permit Center Veradale,WA 99037 "' j��ne 1(707 E Sprague Ave,Suite 106 Fax:892-0432 PERMIT NUMBER: Z.,-Z33 �""�'""� Spokane Valley,WA 99206 .00000 Valle3' (509)688-0036 FAX:(509)688-0037 PERMIT FEE: / I Community Development ��-x�. .spokane�'aticy.urg.com e.7 f Plumbing Permit Application ❑ Commercial ® Residential SITE ADDRESS: 15004 E.Rich Building owner Name: Fatzinger Phone: Fax: Address: SAME City: State: Zip: Contractor Name: Norm's Excavating.Inc Phone: 509/928-0580 Fax: 509/892-0432 Address: PO Box 574 City:Veradale State: WA Zip:99037 License No:NORMSEI972BM City Business License No: Contact Name: Sheila Gibbons Phone: 928-0580 DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS 1 X $6.00 = 6.00 2 URINALS X $6.00 = 3 TUBS X $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT 1 X $6.00 = 6.00 LAVS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR.PHOTO, 1 X $6.00 = 6.00 X-RAY,FOOD,PREP/CULINARY MEAT 6 DISHWASHER , X $6.00 = 7 CLOTHES WASHER X $6.00 = 8 GARBAGE DISPOSAL X $6.00 = 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 = 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6.00 = ROOF DRAINS/OVERFLOW 12 DRAINSX $6.00 = 13 FOUNTAINS,DRINKING X $6.00 = WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, 14 VENT,PLUMBING,REVERSAL REVERSALS 1 X $6.00 = 6.00 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 = ICE AN/OR COFFEE MAKER,HOSE BIB. 16 WATER USING DEVICE STEAMER X $6.00 = PROOFER,CARBONATOR,SWAMP COOLER VACUUM BREAKER.CHECK VALVE, 17 CROSS CONNECTION DEVICE AND R.P.B.P.D.FOR: VATS,TANKS,BOILERS _ X $6.00 = GREASE TRAP,SAND TRAP, 18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS(per outlet) NITROUS.OXYGEN X $8.00 _ = MISCELLANEOUS PLUMBING 20 FIXTURE X $6,00 = 21 PRIVATE SEWAGE DISPOSAUSYS . X $20.00 = INDUSTRIAL WASTE 22 INTERCEPTOR X $15.00 = SUBTOTAL METHOD OF PAYMENT: 24.00 PROCESSING FEE 0 CASH 0 CHECK ® VISA 0 MASTERCARD 37.00 Card# See Cover Sheet EXPIRES: TOTAL PERMIT FEE DUE: 61.00 AUTHORIZED SIGNATURE: 4 4-_-_-.V,/,/,-," _,, ' REVISED Sn6/03 Received Time Jan. 31. 2012 11 : 11AM No. 6260