HomeMy WebLinkAbout2011, 03-22 Permit App: 11000656 ROW, Plumbing Fixtures1141T- cc 11 11:uta Norms Excavating
Wkan e
alley
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development wwwspnkmewl IIcy cirg*.corn
Plumbing Permit Application
5098920432
Mail or Fax To:
Norm's Excavating, Inc,
PO Box 574
Veradaie, WA 99037
Fax: 892-0432
P.5
PERMIT NUMBER:
PERMIT FEE:
n Commercial ® Residential
SITE ADDRESS: 12512 E Vaileyway
Building owner
DESCRIPTION OF WORK
# OF UNITS
Name:
Hietala
Phone: 924-0494
Fax:
Address: SAME
TOILETS
City: State:
Zip:
Contractor
56.00
=
8.00
Name: Norm's Excavating, Inc
URINALS
Phone: 509/928-0580
Fax: 5091892-0432
Address: PO Box 574
56.00
City : Veradale State: WA
Zip: 99037
License No: NORMSEI972BM
TUBS
City Business License No:
Contact
$6.00
=
Name: Sheila Gibbons
SHOWERS (PER TRAP)
Phone: 928-0580
1
AUTHORIZED SIGNATURE:
•l
Received Time Mar. 22. 2011 11:44AM No, 1506
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN GS2014-030.
REVISED 8/26/05
DESCRIPTION OF WORK
# OF UNITS
X
COST
=
TOTAL AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
1
X
56.00
=
8.00
2
URINALS
X
56.00
=
3
TUBS
X
$6.00
=
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
1
X
58.00
—
6.00
5
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
1
X
$6.00
=
6.00
6
DISHWASHER
X
$6.00
=
7
CLOTHES WASHER
X
$6,00
=
8
GARBAGE DISPOSAL
X
56.00
=
9
WATER SOFTENER
X
56.00
=
10
ELECTRIC HOT WATER TANK
NOTE IF GAS, SEE MECHANICAL
X
56.00
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
56.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
56.00
=
13
FOUNTAINS, DRINKING
X
$6.00
=
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALIATION, ALTERATION. REPAIR,
REVERSALS
1
X
58.00
=
6.00
15
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X
$6.00
=
15
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP COOLER
X
56.00
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
56.00
=
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
56.00
=
19
MEDICAL GAS (per outlet)
NITROUS; OXYGEN
X
56.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
58.00
=
21
PRNATE SEWAGE DISPOSAUSYS
X
520.00
=
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
0 CASH ❑ CHECK
Card#/" REDACTED
SUBTOTAL
24.00
El VISA ❑ MASTERCARD
PROCESSING FEE
EXPIRE:
TOTAL PERMIT FEE DUE:
24.00
AUTHORIZED SIGNATURE:
•l
Received Time Mar. 22. 2011 11:44AM No, 1506
This document originally contained
confidential credit card information which
was redacted pursuant to RCW 19.255.010
and the original document destroyed
pursuant to SOS DAN GS2014-030.
REVISED 8/26/05