2003, 11-26 Permit App: BLD-03-03156 Plumbing FixturesSpokane
..„,,.*Valley
Plumbing Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 Phone
Spokane Valley, WA 99206
509-688-0037 - Fax
PROJECT
ADDRESS: Co D ',,
7
7 J
41
PERMIT
USE:
OWNER:
n e , S
EQUALS
PHONE (Daytime Contact):
.e5. , ft
MAILING ADDRESS:
S74rr)f
L c`
T (47
(street)
(city/state)
(LI?)
CONTRACTOR:
2
URINALS
LICENSE #:
MAILING ADDRESS:
X
$6
PHONE #:
(street)
(city/state)
(zw)
PLUMBING FIXTURES
?THOD 0
CASH
TE:
NKCARD NUMBER:
THORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
I
X
$6
-
ever
2
URINALS
X
$6
-
3
TUBS
X
$6
-
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
/
X
$6
(t, ' CV n
5
SINKS
.
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
/
X
$6
-
(` c' c
6
DISHWASHER
/
X
$6
-
7
CLOTHES WASHER
X
$6
-
8
GARBAGE DISPOSAL
X
$6
-
9
WATER SOFTENER
X
$6
-
10
ELECT. HOT WATER TANK
NU I h: IF GAS, SEE MECHANICAL
X
$6
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$6
-
12
FOUNTAINS, DRINKING '
X
$6
-
13
WATER PIPING/DRAIN-IN
WASTE, VENT, PLUMBING
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
X
$6
-
to ("/
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6
-
t
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER, HOSE BIB,
STEAMER, PROOFER, CARBONATOR,
SWAMP COOLER
X
$6
-
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE, AND
R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
-
17
SPRINKLER SYSTEM
X
$25
-
18
INTERCEPTORS '
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
$6
-
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
20
MISC. PLUMBING FIXTURE
X
$6
-
PAYMENT
CHECK
•
I4° t
___ ---._
SUBTOTAL:
-+
7k
PLUS PROCESSING FEE:
-
l7
$35.00
❑ an= IN
TOTAL PERMIT FEE DUE:
S7 C;�,>
TE:
NKCARD NUMBER:
THORIZED SIGNATURE:
Site Information
Site Address: 607 N UNIVERSITY RD
SPOKANE, WA 00000
Parcel Number: 45174.0201
Subdivision:
Block: Lot:
Zoning: UNK Unknown
Owner: STEWART, JAMES M
Address: 607 N UNIVERSITY RD
SPOKANE, WA 99206
Building Inspector: BOBBY STONE
Water Dist:
Project Information
Project Number: 03008405 Inv: 1 Issue Date: 11/21/2003
Permit Use: SEWER CONNECTION - WOODLAWN
Applicant: COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Contact: COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Setbacks - Front:
Group Name:
Project Name:
Left: Right:
Rear:
Permits
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION
License #: COURCC* 181 R7
SEWER CONNECTION
1 $85.00 PROCESSING FEE
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they"have acceptable grade and are clear and unobstructed to the -main sewer.
Sewer lines should be constructed to allow for gravity flow from the iowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate;buiie .i cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO`ANY EXCAVATION THE 'CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE ,(509)456-8000.
Spokane County Code requires the installer comply With all requirements of the Washington,State Dept of Labor and Industries, including
those related to trench safety.
$15.00
$100.00
-Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Processed By: BURRIS, ROBIN
Printed By: HINTZ, FAITH
Tran Date Receipt # Payment Amt
11/21/2003. 7443 $100.00
Page 1 of 1
PERMIT