1995, 08-29 Permit App: 95006756 Plumbing Reversal03/11/1992 16:36 00000000090 000 00009
PLUMBING NG PERIVIIT APPLICATION
(PROJECT ADDRESS: U r'% S S U./n
OWNER: ry1 nri o
MAILING ADDRESS:
rr•VUt nZ
9,5 -
PXONB& DAYTIME CONTACT
(street)
CONTRACTOR:
MAILING ADDRESS:
(city/state) (zip)
LICENSE
PHONE: Fa 430 >v
(street)
(city/state)
(zip)
Tel. No. (309) 456-3673 • Pas No. (509) 324-3198 • TDD No. (509) 324-3166
Spokane County doer not discriminate on the buil of disability in lbe sdmhitoa to. or treatment or employment In. its pro8rems or activitics.
PLUIRSINTIIIVIVRES
DES • ILON
DETAI&,
# dP
UNITS
,.,&n-
MIDR
' -COST
/UNIT
inu,w
AMOUNT
+
TOILETS
WATER Q OSBT% W5TS
x
S6
=
S
a.•
URINALS
-
x
S6
-
S
'=;•
TUBS
BATH. JACUZZL SPA. GARDEN
x
S6
-
S
:•
SHOWERS (per trap)
BASE,STALL, ON-Sr1 BOD
z
S6
-
S
'1 •.
SINKS
LAVE/BASINS BAA.FLOOR. EMMA
LAUNDRY, mum/AMOR PHOTO,
X-RAY, FOOD IPRETXULINARYMEATn
X
S6
-
S
: • ::
DISHWASHER • , •
• • -
x
S6
-
S . .
: •,:
CLOTHES WASHER
-
X
S6
-
S
• ,
GARBAGE DISPOSAUGRINDER
-
X
S6
=
S .
131•
WATER SOFTENER
-
X
S6
=
S
iiii
ELECTRIC HOT WATER TANKS
SNOTS: Elm voice tank w meek -Mal) .
x_
S6
-
S
Bt
FLOOR DRAINS
AREA. CAUL con. TRPNCaLCONDEN3ATE
x
S6
-
S
13.1
ROOF DRAINS/OVERFLOW DRAINS (ea.)
—
x
S6
-
S
HI
FOUNTAINS. DRINKING
-
x
S6
=
S
$•.„1
”`'••.'>
WATER PIPING/DRAIN -WASTE-VENT!
PLUMBING REVERSALS
INSTALL►T1OKAL.TePATtoN,sums,
RBYERSALS
x
S6
••S
$l
SEWAGE EJECTORS
GRANDER SUMP
x
S6
=
S
B
WATER USING DEVICES
ICEAND/ORCOFFEE MAUR.
HOSE MA STEMMA ?ROOFER.
CARPONATOR. SWAI►Q COOLERS
x
S6
=
S
CROSS -CONNECTION DEVICES
VACUUMBRPAILER.CHECK VALVE.
AND P.? B.P.D. POR: VAT% EWE
TAMC$ BOI EP.3. & IITIONICLERSYXIEMS
OREASB TRAP. SAND TRAP,
CHEMICAL HOLDING TANK
x
x
S6
S6
-
-
S
S
INTERCEPTORS
_
= •
MEDICAL GAS (per outlet/bottle station)
,
wfRow,oxYo
z
S6
=
S
B21
MISCELLANEOUS FIXTURES
x
S6
-
S
SIGNATURE:
Spokane
1026
NOTE: MINIMUMPE '
(.n•
FEE IS $35.00
04 4- MO ,'
Sublutal
PLUS: PROCESSING FEE
$25.00
TOTAL PERMIT FEE DUE
S 359°
Covet Division of Buildings
W. � Avenue •
.Broad a A e u
a Spokane. WA 99260
M4jf ,$;.:i;r` r:Y ;re ....,'kj� "$r 5,...: >:°^sae ` :?o .
�' : :
�le :
•
TNLR�
Tel. No. (309) 456-3673 • Pas No. (509) 324-3198 • TDD No. (509) 324-3166
Spokane County doer not discriminate on the buil of disability in lbe sdmhitoa to. or treatment or employment In. its pro8rems or activitics.