HomeMy WebLinkAbout1990, 09-26 Permit App: 90004942 Plumbing Fixtures, Reversal PLUMBING PtRMIT APPLICATION FORM
Information Worksheet
JOB STREET ADDRESS: 6/ r46/6
CITY/STATE/ZIPt ,f', {,�q, �/(o PARCEL NUMBER:
OWNER: �itJiJ__.S `� .e/ PHONE NUMBER: 9026
MAILING ADDRESS: - (,/(o2 X14 Ji�OK• GOA. � G
(Street) (City/State) (Zip)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
(NUMBER OF X EACH
DESCRIPTION I FIXTURES FIXTURE = AMOUNT
TOILETS a" ' x $6.00 = /2 , D
SINKS I2, x 6.00 = /o? , a0
SHOWERS. • ;`"02 x, 6.00 = /? . l�b
BATH::..TUBS I x 6.00 =
KITCHEN SINKS I x 6.00
DISH WASHERS x 6.00 =
GARBAGE DISPOSAL trj * x 6.00
•_
tix p.; .CLOTHES ,,WASHER E ° ; ' ' ';� � � r. �. x 6.00 =
UTILITY;:SINKS. t .4 ; x 6.0.0 =
x
ELECTRIC; WATER HEATERS' x 6.00 =., ,;��
FLOOR DRAINS x 6.00 =
FLOOR SINKS , M x 6.00 =
BAR SINKS x 6.00
ROOF DRAINS x 6.00 =
LAWN SPRINKLER x 6.00 =
SEWAGE EJECTOR vZ x 6.00 = /9 . 0 D
WATER SOFTENER x 6.00 =
URINAL x 6.00 =
DRINKING FOUNTAIN x 6.00 =
SUBTOTAL
PLUS: PROCESSING FEE + $ 2 . 00
1
EQUALS: TOTAL PERMIT I ,r-d' I
NOTE: MINIMUM PERMIT FEE IS $3 .00 FEE DUE 1 = $ 23
S I GNATUR / 4
Spokane Coun Depa rent of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675