1994, 03-17 Permit App: 94002093 Water Softener PLUMBING PERMIT APPLICATION ,, 4 _ Zoe ,
1!ROJECI'ADDRESS: 2008 S TIMBERLANE VERADALE WA 99037
OWNER: DON GRIESEMER PHONE: (509) 922-0670
MAILING ADDRESS: 2008 S TIMBERLANE VERADALE WA 99037
(street) (city/state) (zip)
•
CON'PRACTOR: SOFT WATER SERVICE CO. LICENSE: CCCPEX-SOFTWS*3410R
PIIONE: (509) 455-8050
MAILING ADDRESS: 25 E THIRD AVE SPOKANE WA 99202
(street) (city/state) (zip)
PLUMBING FIXTURES # OF 'MULTI_ COST
DESCRIP11ON DETAILUNITSspay_ /UNIT PaUnu AMOUNT
13O2ITOILL-TS WATER CLOSETS,BIDETS x $6 = $
PO URINALS - x $6 = $
BI TUBS BATH,JACUZZI,SPA,GARDEN x $6 = $
1305 SHOWERS(per trap) BASE,STALL ON-SITE BUILD x $6 = $
I 1. SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, x $6 = $
LAUNDRY,UTILITY,JANITOR,PHOTO.
X-RAY,FOOD(PREP/CULINARY/MEAT)
B0 DISHWASHER - x $6 = $
130:CLOTHES WASHER - x $6 = $
1309 GARBAGE DISPOSAL/GRINDER - x $6 = $
131 t WATER SOFTENER - 1 x $6 = $ 6.00
B1,1 ELECTRIC HOT WATER TANKS (NOTE: Itps water tank,see mechanical) x $6 = $
131,FLOOR DRAINS AREA,CASE.COIL,TRENCH,CONDENSATE x $6 = $ '
BO ROOF DRAINS/OVERFLOW DRAINS(ea.) - x $6 = $
01, FOUNTAINS,DRINKING - x $6 = $
1315 WATER PIPING/DRAIN—WASTE—VENT INSTALLATION,ALTERATION OR REPAIR x $6 = $
131.. SEWAGE EJECTORS GRINDER,SUMP PUMP X ' $6 = $
131 WATER USING DEVICES ICE AND/OR COFFEE MAKER, x $6 = $
HOSE BIB,STEAMER.PROOFER,
CARBONATOR,SWAMP COOLERS I
J31:CROSS-CONNECTION DEVICES VACUUM BREAKER.CHECK VALVE, t x $6 — $
AND R.P.B.P.D.FOR:VATS,SUMPS,
TANKS,BOILERS,&SPRINKLER SYSTEMS
D1' INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $
CIIEMICAL HOLDING TANK
1321 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x $6 = ,$
1321 MISCELLANEOUS FIXTURES x $6 = $
, Subtotal 6.00
NOTE: MINIMUM PERMIT FEE IS $35.00 PLUS: PROCESSING FEE $25.00
TOTAL PERMIT FEE DUE $ 35.00
SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDINGS
. WEST 1026 BROADWAY AVENUE•SPOKANE,WA 99260•(509)456-3675
V.IAI FRwIi,MPFRMJ IND