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1995, 09-25 Permit App: 95007672 Shop Bathroom
,. .... qLcS —'---7 ----7,D.-, ... cfo\ //> v PLUMBING PERMIT APPLICATION PROJECT ADDRESS: yo& s: `iz2,r ��s-�y / AV/`. e G(-- 41 )02 ,-;1_o 6 OWNER: J /,r 4 /716---'7't-7—/P2 PHONE:DAYTIME CONTACT T,(✓6)' --_-.)'4,\,\-, �-, MAILING ADDRESS: Yo Ca .1.-//77 it/e-=',---S ') e Ct//1 99 o`z S4 ,(city/state) (zip) CONTRACTOR: LICENSE: PHONE: MAILING ADDRESS: (street) (city/state) (zip) PLUMBING FIXTURES if OF MULTI- COST DESCRIPTION ( DETAIL UNITS LIED /UNIT ItQUAIJ AMOUNT : TOILETS WATER CLOSETS.BIDETS / x $6 = $ 6.,c'`' 003 URINALS - x $6 = $ TUBS BATH,JACUZZI.SPA,GARDEN x $6 = $ SHOWERS(per trap) BASE,STALL,ON-SITE BUILD / x $6 = $ .` :;SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, x $6 = $ LAUNDRY.UTILITY,JANITOR,PHOTO, • C) .:...:,...*....;•..* X-RAY,FOOD(PREP/CULINARY/MEAT) / (e . :DISHWASHER - x $6 = $ DO CLOTHES WASHER - x $6 = $ `. >GARBAGE DISPOSAL/GRINDER - x $6 = $ 1:`::'WATER SOFTENER - • x $6 = $ 11-41:';ELECTRIC HOT WATER TANKS (NOTE: if pa water tank,see mechanical) x $6 = $ Btii FLOOR DRAINS AREA.CASE,COIL,TRENCH,CONDENSATE / x $6 = $ oP'c'L €,ROOF DRAINS/OVERFLOW DRAIN - x $6 = $ 0 FOUNTAINS,DRINKING - x $6 = $ gg WATER PIPING/DRAIN-WASTE-VE INSTAlAT[ON,ALTERATION,REPAIR, x $6 = $ W PLUMBING REVERSALS REVERSALS , f-SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $ 1i: WATER USING DEVICES ICE AND/OR COrrrw MAKER, x $6 = $ HOSE BIB,STEAMER,PROOFER, :,+wa • CARBONATOR.SWAMP COOLERS i. gt`::CROSS-CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, x $6 = $ AND RP.B.P.D.FOR:VATS,SUMPS, TANKS,BOILERS,&SPRINKLER SYSTEMS SI{INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $ MB CHEMICAL HOLDING TANK 14 MEDICAL GAS(per outlet/bottle stati NITROUS,OXYGEN x $6 = $ id MISCELLANEOUS FIXTURES x $6 = $ NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal 5/ PLUS: PROCESSING FE $25.00 SIGNATURE:— /7-- TOTAL PERMIT FEE DU $ /9.ix-2 .xi:i::v'�Y�: �C{{;�.;Ki�� ...<,:'ABLE TO:: Spokane County Department of Building&Planning SPOICONTY T 1026 WBroadway Avenue•Spokane,WA 99260 , .......... . . . ,. : : . . .. . . .. : . Tel.No.(509)456-3675•Fax No. (509)324-3198*TDD No. (509)324-3166 Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or activities. 716'93 Vw.r%plumpra.W