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2001, 08-27 Permit App: 01007283 Sink r L i(S-V--1 .c) , PLUMBING PERMIT APPLICATION 10( 79- ,I PROJECT OWNER:pit{ 11.1)1 IL. 51 / ,A123Nnn` ,h els,d,V PHONE (Daytime Contact): ASAIL2� ADDRESS: �j (Street) (Cuy/State) (Zip) _ CONTRACTOR 0 w NM • LICENSE: MAILING ADDRESS: . 1 PHONE: bog- ��i3 .r � S- It3 Leio.vD `7 "I L,I ge tt4-Y t-A tc . - l)- 1O let _ (Street) (City/State) am) PLUMBING FIXTURES I . #OF n'1' COST/ AMOUNT DESCRIPTION DETAIL UNITS sr UNIT EQUALS L i B02 TOILETS 'WATER CLOSETS,BIDETS x 56 -x Se I B03 URINALS - B04 TUBS ' BATH.STALL.ON-SITE BUILD z j 56 SO - I 803 SHOWERS ersol x 806 1 SINKS LAVS/BASINS,BAR.F x 56 KITCHEN,LAL'NDR JANITOR.PHOTO,X-RAY,FOOD (PREP/CULINARY/MEAT 807 DISHWASHER x 56 B08 CLOTHES WASHER - x - So 309 GARBAGE DISPOSAL/GRINDER x 56 - x S6 - 310 WATER SOFTENER (NOTE: if gas rater tank see nsechanin!) 311 ELECTRIC HOT WATER TANKS CARL A.CASE.COIL,TRENCH, x 56 - CONDENSATE 312 FLOOR DRAINS • x SO - B13 ROOF DRAINS/OVERFLOW DRAINS = S6 (ea.) x 56 314 FOUNTAINS.DRINKING -INSTALLATION, _ x 56 315 WATER PIPING/DRAIN-IN WASTE- REPAIR.RETIOVERN.AS ALTERATION, 56 VP—NT/PLUMBING REVERSALS REPA .R.SUMP PUMP B16 SEWAGE EJECTORS x S6 - B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, HOSE BIB.STEAMER,PROOFER. CARBONATOR.SWAMP COOLERS Bib CROSS CONNECTION DEVICES VACUUM BREAKER CHECK SoVALVE,AND R.P.32.D.FOR: VATS,SUMPS.TANKS,BOILERS,& SPRINKLER SYSTEMS 'EASE TRAP,SAND AP, il x 56 - CHEMI1319 INTERCEPTORS GRTR CAL HOLDING TANK x S6 B20 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN I ' S6 J - i B21 MISCELLANEOUS FLKTIIRES . SUBTOTAL METHOD OF PAYMENT illitel :I1alJ1f PLUS PROCESSING FEE S 25.00 ❑ CASH ❑ CHECK ❑ ® 0 ❑ --- FAXED F. rERmasMAMA C C� PAYMENT OFA TOTAL PERMIT FEE DUE EXPIRES. MINIMUM PERMIT FEE IS$35.00 DATE: PLEASE MASE CHECKS PAYABLE TO SPOKANE COUNTY PERMIT CENTER BA!vKCARD NUMBER: AUTHORIZED SIGNATURE: a.a Spokane County Division of Building&Planning .,ic, 1026 West Broadway Avenue'Spokane,WA 992604950 Telephone No.(509)477-3675.Fax No. 324.3193*TDD No. (509)324-3166