HomeMy WebLinkAbout2013, 04-22 Permit App: BLD-2013-0698 Drain Connect Apr 22 13 09:30a Norm's Excavating, Inc 509-448-4906 p.3
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Mail or Fax To:
Norm's Excavating,Inc.
P.O.a ne 30873 OM
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Permit Center Spokane,WA 99223 I ice/ ilk 7 O
S 11707 6 Sprague Suite[06 Fax 509/446-4906
Spokane Valley,WA 99206 FinailTinaTnnnnearravatinn mm PERMIT NUMBER:
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development www snokancvallcy.org,cnm
Plumbing Permit Application ❑ Commercial ® Residential
SITE ADDRESS: 4221 N Vercler
Bui[ding owner
Name: snider Phone: Fax:
Address: SAME City: State: Zip:
Contractor
Name: Norm's Excavating,Inc Phone: 509/928-0580 Fax: 509/448-4906
Address: PO Box 30873 City:Spokane State: WA Zip:99223
License No:NORMSE3972BM City Business License No:
Contact
Name: Tina Lingo Phone: 928-0580
DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT
1 TOILETS WATER CLOSET,BIDETS X $6.00 , _
2 URINALS X $8.00 =
3 TUBS X $6.00 _
4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6.00 =
LAVS/BASINS,BAR,FLOOR,KITCHEN,
. 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 =
X-RAY.FOOD,PREP/CULINARY MEAT
6 DISHWASHER X $8.00 =
7 CLOTHES WASHER X $6.00 =
8 GARBAGE DISPOSAL X $6.00 =
9 WATER SOFTENER X $6.00 _
10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 =
11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6.00 =
ROOF DRAINS/OVERFLOW
12 DRAINS X $6.00 =
13 FOUNTAINS,DRINKING X $6.00 =
WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR,
14 VENT,PLUMBING.REVERSAL REVERSALS 1 X $6.00 = 6.00
15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 =
ICE AN/OR COFFEE MAKER,HOSE BIB,
16 WATER USING DEVICE STEAMER X $6.00 =
PROOFER,CARBONATOR,SWAMP COOLER
VACUUM BREAKER,CHECK VALVE,
17 CROSS CONNECTION DEVICE AND R.P.B.P.D.FOR: VATS,TANKS.BOILERS X $6.00 =
GREASE TRAP,SAND TRAP,
18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 =
19 MEDICAL GAS(per outlet) NITROUS.OXYGEN X $6.00 =
MISCELLANEOUS PLUMBING
20 FIXTURE X $6.00 =
21 PRIVATE SEWAGE DISPOSAL/SYS X $20.00 _ =
INDUSTRIAL WASTE
22 INTERCEPTORrOSGO X $15.00 =
V SUBTOTAL
METHOD OF PAYMENT: P 6.00
fig: ‘
PROCESSING FEE
0 CASH 0 CHECK TjR ® VISA ❑ MASTERCARD 8.00
Card# See fax cover EXPIRES: TOTAL PERMIT FEE DUE: 14.00
AUTHORIZED SIGNATURE: REVISED 52645
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.