Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2012, 10-30 Permit App: BLD-2012-1959 Plumbing Fixtures
Mail or Fax To: Norm's Excavating,Inc. PO Box 574 ' Permit Center Veradale,WA 99037 G,, 11707E Sprague Ave,Suite 106 Fax:892-0432 PERMIT NUMBER: A��i —j Z - ......Valley Spokane Valley,WA 99206 /��) (509)688-0036 FAX:(509)688-0037 PERMIT FEE: r/ '61 X y. Community Development ww‘‘.snokanevallev.or0.cctm Plumbing Permit Application ❑ Commercial ® Residential SITE ADDRESS: _1 9024 E Riverside Building owner Name: Elliot Phone: 924-7134 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 8 OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6.00 = 2 URINALS X $6.00 3 TUBS X $6.00 = 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $8.00 = LAVS/BASINS,BAR,FLOOR,KITCHEN, X $6.00 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, 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 SOFTENERX $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 DRAINS X $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 $6.00 = 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: 6.00 PROCESSING FEE 0 CASH 0 CHECK E1 VISA 0 MASTERCARD 8.00 Card# See Cover Sheet EXPIRES: TOTAL PERMIT FEE DUE: 14.00 AUTHORIZED SIGNATURE: . . .. .-- •_.t ( ' `/,44--- `' ' REVISED$26/05 Z 'd 2E.K:1Z6660S 2u rl.eneox3 sw-lo1 eGi7 =60 21 OE 400