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1993, 11-10 Permit App: 93010958 Plumbing Reversal
ii5-374. Li PLUMBING PERMIT APPLICATION P (1)-ra,01,0 oP 1:1/°' ZOJECT ADDRESS: S (e 7 S (1.-A&ecThL9. DR_ 0 -I q51 -k WNER: ni_ 0 5 PHONE: (13s AILING ADDRESS: 5 - co2E 0,04 (street) )NTRACTOR: CIVNA C_ AILING ADDRESS: i (street) "-D17CAC4A"-Drr__ (city/state) (zip) LICENSE: -VD ry , rn PHONE: qL'-7'13 ? (city/state) (Z1P) SIGNATURE: IATIEMPUJIKPER).HND SPO I COUNTY DIVISION OF BUILDINGS e_. WEST 1026 ROADWAY AVENUE • SPOKANE, WA 99260 * (509) 456-3675 PLUMBING FIXTURES DESCRIPTION • DETAIL # OF UNITS MULTI- PLIED BY COST /UNIT Bathes AMOUNT 1 =LEIS WATER CLOSETS, BIDETS X $6 = $ 0 URI/sTALS - x $6 = $ 04 TUBS BATH, JACUZZI, SPA, GARDEN x $6 = $ 05 SHOWERS (per trap) BASE, STALL, ON—SITE BUILD X $6 .= $ ag SINKS ::.• :: LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X—RAY, FOOD (PREP/CULINARY/MEAT) X $6 = $ 1: DISHWASHER - x $6 = $ OS CLOTHES WASHER - x $6 = $ 60 GARBAGE DISPOSAL/GRINDER - x $6 = $ TO WATER SOFTENER - x $6 = $ ot:! 4 ELECTRIC HOT WATER TANKS (NOTE: if gas water task, sea inechaaical) x $6 = $ ...,„::-..... 1FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6 = $ ii ROOF DRAINS/OVERFLOW DRAINS (ea.) - x $6 = $ 14 FOUNTAINS, DRINKING - x $6 = $ IS INSTALLATION, ALTERATION OR REPAIR X $6 = $ WATER PIPING/DRAIN-WAS lb—VENT SEWAGE EJECTORS GRINDER, SUMP PUMP X $6 = $ m WATER USING DEVICES ICE AND/OR COFFEE MAKER, HOSE BIB, STEAMER, PROOFER, CARBONATOR, SWAMP COOLERS x $6 = $ ..... L8 CROSS -CONNECTION DEVICY.S VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, SUMPS, TANKS, BOILERS, & SPRINKLER SYSTEMS X $6 = $ 19 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6 = $ 120 MEDICAL GAS (per outlet/bottle station) NITROUS, OXYGEN x $6 = $ al MISCELIANEOUS FDCTURES k.?_%_.A.7 Pc.u.A,u. to (LI x $6 = $ NOTE: MINIMUM PERMIT FEE IS $35.00 6. _:._---fi r---> r Subtotal PLUS: PROCESSING FEE $25.00 TOTAL PERMIT FEE DUE $ SIGNATURE: IATIEMPUJIKPER).HND SPO I COUNTY DIVISION OF BUILDINGS e_. WEST 1026 ROADWAY AVENUE • SPOKANE, WA 99260 * (509) 456-3675