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1994, 02-07 Permit App: 94000943 Plumbing Fixtures PLUMBING PERMIT APPLICATION PROJECT ADDRESS: OWNER: J` 612.✓L l-1�l (�(-(�S PHONE: 3 1 MAILING ADDR : / qU ( ---7 L W( (i„)---7-e__ /..„1/4.) S Po tq (street (city/state) (zip) CONTRACTOR: 1 l.CAMit, (77 c v 0 — ( LICENSE: pLLr✓, (3 0 gi C i3 PHONE: MAILING ADDRESS: J) �O CO M i.,((,,e-4-0.; c P U (,oxi- q 9 Zv b (street) (city/state) (zip) PLUMBING FIXITJRES #OF MULTI- COST DESCRIPTION I DETAIL UNITS PLIED BY /UNIT EQUALS AMOUNT E02 TOILETS WATER CLOSETS,BIDETS 0-7_ x $6 = $ Bbl URINALS - x $6 = $ B04 TUBS BATH,JACUZZI,SPA,GARDEN 2- x $6 = $ B05 SHOWERS(per trap) BASE,STALL,ON-SITE BUILD X $6 = $ B06 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, X $6 = $ LAUNDRY,UTILITY,JANITOR,PHOTO, li X-RAY,FOOD(PREP/CULINARY/MEAT) B07 DISHWASHER - x $6 = $ BOS CLOTHES WASHER - x $6 = $ B09 GARBAGE DISPOSAL/GRINDER - x $6 = $ B10 WATER SOF 1'tNER - x $6 = $ B11 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank,see mechanical) X $6 = $ 112 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE I x $6 = $ BO ROOF DRAINS/OVERFLOW DRAINS(ea.) - x $6 = $ 1414 FOUNTAINS,DRINKING - x $6 = $ B15 WATER PIPING/DRAIN—WASTE—VENT INSTALLATION,ALTERATION OR REPAIR X $6 = $ B.16 SEWAGE EJECTORS GRINDER,SUMP PUMP ( X $6 = $ B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, X $6 = $ HOSE BIB,STEAMER,PROOFER, CARBONATOR,SWAMP COOLERS B18 CROSS—CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, X $6 = $ AND R.P.B.P.D.FOR:VATS,SUMPS, TANKS,BOILERS,&SPRINKLER SYSTEMS B19 INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $ CHEMICAL HOLDING TANK B20 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN X $6 = $ B21 MISCELLANEOUS FIXTURES x $6 = $ Subtotal NOTE: MINIMUM PERMIT FEE IS $35.00 PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ SIGNATURE: ., . A t / AP SPOKANE COUNTY DIVISION OF BUILDINGS WEST 1026 BROADWAY AVENUE*SPOKANE,WA 99260*(509)456-3675 MASrER\PWMPERM.HND