1993, 09-16 Permit App: 93008432 Plumbing Fixtures ,,
W
J 3-et-I 52
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS: 14,112....lbeffillli E • L5(001 5t4AeP i
L IP RONE:
OWNER: /re- //� U ii� 5
MAILING ADDRESS: 1—eCiti TIok dr, 764-
(street) (city/state) (zip)
CONTRACTOR: 1/6-.1 1///f-Gf f/S e . . LICENSE: 7.-EE tify 0017 L31
PHONE:
MAILING ADDRESS: A/ ° V/9 ..c (?0(./A 7- o Afire GY4 9 7
(street) (city/state (zip)
• PLUMBING FIXTURES OF `u.- C'OS r
DESCRIPTION I DETAIL UNITS P[1E41Y /UNIT _ = OUNT
:`a:TOILETS WATP.R CLOSETS.BIDETSt. =
,. -
X $
: URINALS x S6 = S
TUlS BATH.JACUZZI.SPA.GARDEN
B /LL,ON—SITEBIIIID / X $6 = $ /-0O
SHOWERS(per trap) aASB.STA /Z.00A
:, SINKS
U1VS/BASINS.BAR.PIAOR ' . x $6 = $
a.
14 LAUNDRY.MTTIIJTY.IANTTOR.PHOTO. •
X—RAY.FOOD(PREP/CULINARY/Next) 4
A DISHWASHER $6 = $ -Oo
'''M CLOTHES WASHER .— x $
a x $$6° GARBAGE DISPOSAL/GRINDER — x =$6 = $$
f WATER SOFTENER x $6 = $lv-00
ti ELECTRIC HOT WATER TANKS OTB:ups water aak,see aaeeiaa-
AREA.CASE,COIL.TRENCH.CONDENSATE x $6 = $
FLOOR DRAINS x $6 = $
I'V ROOF DRAINS/OVERFLOW DRAINS(ea.) —
�• — x $6 = $
F FOUNTAINS,DRINKING* X $6 = S -_
._. WATER PIPING/DRAIN—WASTE-VENT INSTALL ATLON.ALTERATION OR REPAIR f
ORINDER,SUMPPUMP . x $6 = $
,°'SEWAGE EJECTORS / x $6 = $ G
or
ICE AND/OR COMB MAILER.
��;� WATER USING DEVICES
CROSS—CONNECTION DEVICES
., HOSE0BIB,STEAMER.PROOPER.
> s� CARBONATOR.SWAMPCOOLERS
`� •
?
VACUUM BREAKER.(NECK VALVE. X $6 = S
a AND R.P.B.P.D.VOL VATS.SUMPS.
<- TANKS,BOILERS,St SPRINKLER SYSTEMS
wr-
$:t INTERCEPTORS GREASES TRAP,SAND TRAP.
°'''iiCHEMICAL HOLDING TANK
:; o MEDICAL GAS(per outlet/bottle station) NITROUS.OXYGEN
:::.
x $6 = $
I MISCELLANEOUS FMTURES
Subtotal
NOTE: MINIMUM PERMIT FEE IS $35.00 PLUS: PROCESSING FEE $25.00.0
TOTAL PERMIT FEE DUE S 73 O
J
SIGNATURE _10 --
SPOKANE COUNTY DIVISION OP BUILDINGS
WEST 1026 BROADWAY AVENUE•SPOKANE,WA 99260*(509)456-3675
,MAST[AU•LL)MMAW/ND
•
4-
.-ntunarcrrco"wm•r1iuviulclf DT-L..,77t5R""—'—`...-...__ _
r;. CQIti,I (iF 'ERAk
REGISTRATION NUMBER EXPIRATION DATE •
ii
4(.4) TE T; frO87B1 01/01/94
• ! FEECTI; E QATt 01,/21/92 •
1 t� . EIyiEf PR VS INC
N 2520 UPRIVER CT
i
SP0KA4E WA 99207
b-as t
41C I
SIGNATURE ' ` `+1:4<C{p G"7 "-'.. �7
ISSUED BY DEPARTMENT OF LABOR AND INDUSTRIES