2003, 05-15 Permit: BD-03-430 Plumbing ReversalMETHOD 0
❑ CASH
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Plumbing Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
PROJECT
ADDRESS: Co nV D i_ Do N oj
PERMIT
USE:
OWNER: azittigio„! ;/ - _i-d--�
PHONE (Daytime Contact): 8'7 /�
- / /•.(/
MAILIN DRESS: 4
q?o�, , LlJ10-d- 4oui,a--014- t �'d6i "&
(street) (aty/e) (ZIP)
CONTRACT Z: -L�Z1ki4') j2/ `iLICENSE
Ii:
MAILING ADDRESS:
PHONE #: q ^ p
o
- 6/ 1 / 6- a_l(A///1/
(street) (city/state) (GLt )
PLUMBING FIXTURES
DATE: EXPIRES:
3ANKCARD NUMBER:
'UTHORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
!
X
$6
-
2
URINALS
X
$6
-
3
TUBS
X
$6
-
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6
-
5
SINKS
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
l t
X
$6
-
6
DISHWASHER
X
$6
-
7
CLOTHES WASHER
X
$6
-
8
GARBAGE DISPOSAL
X
$6
-
9
WATER SOFTENER
X
$6
-
10
ELECT. HOT WATER TANK
NOTE: 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,
REVERSALSf
/
X
$6
-
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6
-
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
$6
-
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
20
MISC. PLUMBING FIXTURE
X
$6
-
PAYMENT
❑ CHECK
S 44'est 4 #
SUBTOTAL:i
`�S r�
PLUS PROCESSING FEE:
$35.00
■ ■ -.___..
TOTAL PERMIT FEE DUE:
.3, 0 0
DATE: EXPIRES:
3ANKCARD NUMBER:
'UTHORIZED SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDING;
AND CODE ENFORCEMENT,
1026 WEsT BROADWAY AVENUE •. SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 9802 E VALLEYWAY AVE
SPOKANE, WA 99206
Parcel Number: 45173.1005
Subdivision: UNKNOWN
Block: Lot:
Zoning: UR -3 Urban Residential 3.5
Owner: VAN VOORHIS, JOHN
Address: 9802 E VALLEYWAY AVE
SPOKANE, WA 99206
Building Inspector: NONE
Water Dist:
Project Number: 03003383 Inv: 1 Issue Date: 5/15/2003
Permit Use: SEWER CONNECTION - WALNUT
Applicant: Z BEST CONSTRUCTION
P.O. BOX 13241
SPOKANE WA 99213 Phone: (509) 891-9949
Contact: Z BEST CONSTRUCTION
P.O. BOX 13241
SPOKANE WA 99213 Phone: (509) 891-9949
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: Z BEST CONSTRUCTION License #: ZBESTC*077RH
SEWER CONNECTION
1 $85.00 PROCESSING FEE
Total Permit Fee:
:00 PM MONDAY THRU FRIDAY
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8.
$15.00
$100.00
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 lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried 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.
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
5/15/2003 3062 $100.00
Processed By: BURRIS, ROBIN
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT