1995, 06-13 Permit App: 95004219 Water Softener PLUMBING PERMIT APPLICATION
ROJIECI'ADDRESS: 2616 S VERCLER SPOKANE WA 99216 O\S_ Z.0 J
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OWNER: KIM & KRIS BOYNTON I'IIONL: (509) 922-7455
MAILING ADDRESS: 2616 S VERCLER SPOKANE WA 99216
(street) (city/state) (zip)
CONTRACTOR: SOFT WATER SERVICE CO. LICENSE: CCCPEX-SOFTWS*3410R
PHONE: (509) 455-8050
MAILING ADDRESS: 25 E THIRD AVE SPOKANE WA 99202
(street) (city/state) (zip)
PLUMIIINOTIXTURES —#-OF I'.n,Lm. I COST I I ,
DESCRIPTION I D1II AIL UNITS rush!, /UNIT Bou ,LAMOUNT
130 TOILETS WATER CLOSETS,BIDETS x $6 = $
PO URINALS - x $6 - $
131 TUBS BATA,JACUZZI,SPA,GARDEN X $6 = $
•
1305 SHOWERS(per trap) BASE,STALL,ON—SITE BUILD x $6 = $
1 i SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, x $6 = $
LAUNDRY,UTILITY,JANITOR,PHOTO,
X—RAY,FOOD(PREP/CULINARY/MEAT)
131 .DISHWASHER - x $6 = $
13b: CLOTHES WASHER - , x $6 = $
I31 GARBAGE DISPOSAL/GRINDER - x $6 = $
1311 WATER SOFTENER - 1 x $6 = $ 6:00
00 ELECFRIC HOT WATER TANKS (NOTE If ges water teak,see mechanical) X $6 = $ ' '
133 FLOOR DRAINS AREA,CASE,COIL,TRENCI I,CONDENSATE X $6 '— $ -
013 ROOF DRAINS/OVERFLOW DRAINS(ea.) - x $6 = $ _
P[• FOUNTAINS,DRINKING - x $6 = $ •
I315 WATER PIPING/DRAIN—WASTE—VENT INSTALLATION,ALTERATION OR REPAIR X $6 = $
131.'• SEWAGE EJECTORS GRINDER,SUMP PUMP x ' $6 = $
I31 WATER USING DEVICES ICE AND/OR COFFEE MAKER, X $6 = $
ROSE BIB,STEAMER,PROOPER,
CARBONATOR,SWAMP COOLERS ,
131:CROSS-CONNECITON DEVICES VACUUM BREAKER,CHECK VALVE, 1 X $6 = $
AND R.P.B.P.D.FOR:VATS,SUMPS,
TANKS,BOILERS,&SPRINKLER SYSTEMS
131'' INTERCEPTORS OREASETRAP,SANDTRAP, x $6 =
CHEMICAL HOLDING TANK '
1.321 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN X $6 - $
1121 MISCELLANEOUS FIXTURES • x $6 = $
• Subtotal 6.00
NOTE: MINIMUM PERMIT TEE IS $35.00 PLUS: PROCESSING FEE $25.00
TOTAL PERMIT FEE DUE $ 35.00
SIGNATURE:
SPOKANE COUNTY DIVISION OF BUILDINGS
WEST 1026 BROADWAY AVENUE•SPOKANE,WA 99260• (509)456-3675
ASTF1W1,WIT'l MJ IND