1995, 09-13 Permit App: 95007263 Plumbing Reversal 03/26/1992 17:15 00000000000 000 00000 PAGE 02
PLUMING PERMIPAPPLICATION (15 _ 7 Z(p 3
PROJECT ADDRESS: _
OWNER: LL4,Ael d'4'211.4614-.1) PHONES,DAYTIME CONTACT
MAILING ADDRESS:
' (street) (eity/state) (tip)
CONTRACTOR: LICENSE:
PHONE:
MAILING ADDRESS:
(street) (city/state) (zip)
PLUMBING • • - CO illiMilli_z , . i • RR
i TOIURINALS runs
T EIS •r. -
-
x S6 = S
S6 = S
S6 of S
:i BM .JACUZZI.SPA.OARDBN x
I SHOWERS(per trap)
BASE.SrAu.ON-Sfl'BBVIiD A S6 as S
'i`•SINKS Iwv&BASINS8AR FLOOD.RIr s. x S6 = S
L IJNDDkY,mum PtiOTO.
X-RAY,POOD(PRBACULII(AETiME )
•:'I0.•
. DISHWASHER - ' - x S6 - S .
:"t,: CLOINES WASHER - - x S6 = S
:,0 GARBAGE DISPOSAL/GRINDER - .x S6 so
8.19 WATER SOFTENER - x S6 = S
Eli ELECTRIC HOT WATER TANKS (NOTE:Roseau*teak sesSlate hal) . . x S6 = S
ill. FLOOR DRAINS AREA,CAUL COIL.TRENCH.CONDENSATE x S6 = 5
B .1„ROOF DRAINS/OVERFLOW DRAINS(ea.) - x S6 = S
Bf'.FOUNTAINS,DRINKING - x S6 = S
13.:.,;WATER PIPING/DRAIN-WASTE-VENT/ INSTALUATLON,AL.T.RATWN.pa,A . x S6 = S
`:: PLUMBING REVERSALS REVERSALS
$I':SEWAGE EJECTORS GRINDER SUMP PUMP x S6 = S
At,WATER USING DEVICES Ka ANDIOR COPPER MAXIM. x S6 = S
'•;'..::':,, HOSERN.STEAMER?ROOFER.
CARDONA7OR.SWAMP COOLERS
B'`= CROSS-CONNECTION DEVICES VACUUM BREAXEILCHIKXVALVIL x S6 = ,S
''' AND R.P.B.P.D.MS:VATS,SUMPS,
=a : TANKS,BOILERS,a SPRIMMERSYSTBMS
.I, INTERCEPTORS GRUAMTRAP SANDTRAR x S6 = S
COMICAL HOLDING TANK
.: i MEDICAL GAS•(peroutlet/bottle stetion) mums.OXYGEN a 56 - 5
B1' MISCELLANEOUS FIXTURES x S6 = S
NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal
PLUS: PROCESSING FEE $25.00
SIGNATURE; 4 3Q ii / TOTAL PERMIT FEE DUE S "u
ani:hs.x:2'e. ...e��t;w.<•':::iS;>:a'a:.'...r;,.r:.ti:}�',S!RO..':i<i:ei,;;: :
"'K:i"}rxok%y%L.R:h:s• r::i ..s>:��>�a+.S :i. �:.
: �" 0,,.;4;. 'LE:T•
•a.!s•>�� ,��rfr. ,4�ai� 4 >.•ass:eis>•.a,;.:•'•:::i..;..:<�.•s5: xi•:>s•..P:f:::::.
Spokane County Division of Buildings . , i� ;CON N' 1 1 I •}CtNTER
1026 W.Broadway Avenue•Spokane.WA 99260
Tel.No.(509)456-3675•Paz No.(509)324-3191•TDD No.(509)324-3166
Spokane County does not discriminate on the basis etdeabffity In the Admission to,or treatment or employment in.its proirams or actiritiea.
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