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1990, 07-27 Permit App: 90003566 Lawn Sprinkler PLUMBING 1; , RMIT APPLICATION FORM tnfcrtnation Worksheet JOB STREET ADDRESS: / ?-� � DR- CITY/STATE/ZIP: StFbK / 16OZ1,-PARCEL NUMBER: OWNER: S 11454 et,0610.0 l7'g'�` S`- -PHONE NUMBER: �c'0 7?.2-22g MAILING ADDRESS: 6/qt Lo lf/� �� �77�L� 3 S- (Street) (City/State)S (Zip) CONTRACTOR: /� LICENSE NUMBER: S�f� A^Q` E �� /a E PHONE NUMBER: 77. ,5"-S MAILING ADDRESS: (Street) (City/State) (Zip) PLUMBING WORKSHEET/FEE SCHEDULE NUMBER OF X EACH 1 zt k`' DESCRIPTION FIXTURES FIXTURE AMOUNT , .'` d i'4,,,„,. 6� x, X $6.00 = TOILETS 1 ..�, 14 SINKS x 6.00 = 1., ' SHOWERS x 6.00 = � '� s ;;'BATH:;TUBS ..,-,/,,,,,,,„ ` , ,„ '4„., ;is x 6.00 = ,. 1 I. ',-x-at;‘,-', ..KITCHEN SINKS: ' �: w x 6.00 = �< .�. �� ; LL ,1 tr q., , ', ,, : ,x , YDISHWAS �ER3�;��n"� '�'�`"�"��� ��r - x 6.00 ;#�„ � � h GARBAG 'DISPOSAZ :c`�{ ` ,`` ' .} x 6.00 x ,;•!4:',.. ...1,.‘4,-,,- , # x CLOTHES WASHER ' , ' 4t. ,,F` �, , .. x. 6.00 ;. 21 UTILITY„,,SINKSx � x x 6 00 = ¢' 1 fi ,1 f ELECTRIC: WATER HEATERS x 6.00 = ` FLOOR' DRAINS d',, ,, ,< �` x 6 00 '-----:= ' 4 fi I ii , $4 FLOOR:SINKS r; / , f. x 6.00 = * `` '-, , ` ., BAR SINKS = s { x 6.-00, Yb , R ROOF:-,DRAINS ,,`^'°, ,W ,�, € „ . x 6 0 0 ,' LAWN` SPRINKLER �, I x 6.00 = -.0cri SEWAGE EJECTOR £ x 6 00 = t WATER SOFTENER x 6.00 = 'z *' URINAL = `,,, � ) x 6.00- ' {•»��'�� 1�gp DRINKING:..FOUNTAIN , ,, , X 6.00 -La, z3. .w...,v SUBTOTAL $ ,:. , Id PLUS: ''PROCESSING FEE + $ 25.00 I EQUALS: TOTAL PERMIT I NOTE: MINIMUM PERMIT - E - .0. I FEE DUE 1= $ .� 00 I ' SIGNATURE D-----2----:„.., iir I Spokane County Department of Building and Safety West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675