HomeMy WebLinkAbout2003, 05-08 Permit: BD-03-342 Plumbing Reversalcrry �x�
pokane
Plumbing Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inspections, call 509-688-0054
E D 03-34-1z,
ADDRESS: ,-A----
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DETAILS
USRMPETT
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all
OWNER: '73-6 CtJTh
1
EQUALS
AMOUNT
PHONE (Daytime Contact):
MAILING ADDRESS:
WATER CLOSET, BIDETS
''I//1I
6
(street)
-
(city/state)
2
(ZIl')
CONTRACTOR: jtLA ^(-C
v
k•
X
$6
LICENSE #:
ADDRESS:
MAILINGPHONE
c 1
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(7JLQ ..)D(
LQ -
g901
#:
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0 "p � J LZj
cp
$6
(street)
(city/state)
SHOWERS (PER TRAP)
(ZIP)
PLUMBING FIXTURES
METHOD 0
0 CASH
20
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
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DESCRIPTION
DETAILS
# OF UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6
-
2
URINALS
X
$6
-
3
TUBS
X
$6
-
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6
-
5
SINKS
LAVS/BASINS, BAR FLOOR KITCHEN,
LAUNDRY, UTILTTY, JANITOR, PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
X
$6
-
6
DISHWASHER
X
$6
-
7
CLOTHES WASHER
X
$6
-
8
GARBAGE DISPOSAL
X
$6
-
9
WATER SOFTENER
X
$6
-
10
ELECT. HOT WATER TANK
NOTE: IF GAS, SEE MECHANICAL
X
$6
-
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH, CONDENSATE
X
$b
-
12
FOUNTAINS, DRINKING
X
$6
-
13
WATER PIPING/DRAIN-IN
WASTE, VENT, PLUMBI
REVERSAL
INST LTERATION, REPAIR,
EVERSALS
- -- —�
/
(
X
$6
-
7! _--
14
SEWAGE EJECTOR
GRINDER SUMP PUMP
X
$6
-
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER, HOSE BIB,
STEAMER, PROOFER, CARBONATOR
SWAMP COOLER
X
$6
-
16
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE, AND
R.P.B.P.D. FOR: VATS, TANKS, BOILERS
X
$6
-
17
SPRINKLER SYSTEM
X
$25
-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
-
20
MISC. PLUMBING FIXTURE
X
$6
-
PAYMENT
] CHECK
.,
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_._._.-_. .:
SUBTOTAL:
19.(90
PLUS PROCESSING FEE:
$35.00
■ ■
TOTAL PERMIT FEE DUE:
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
a�>
Site Information , Project Information
1
Site Address: 1026 N WILLOW RD
SPOKANE, WA 99206
Parcel Number: 45172.1014
Subdivision: ARA BOONE ADD
Block:
Zoning: AGS
Lot:
Owner: JOHNSON, LILBURN
Address: 1026 N WILLOW RD
SPOKANE, WA 99206
Building Inspector: NONE
Water Dist:
Sewer Connection Permit
1
Project Number: 03003045 Inv: 1 Issue Date:
Peninit Use: SEWER CONNECTION - WALNUT
5/1/2003
Applitant: COURCHAINE CONSTRUCTION
.19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Contact: COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES; WA 99016 Phone: (509) 924-5485
Setbacks -Front: Left: Right: Rear:
Group Name:
roject Name:
Contractor: COURCHAINE CONSTRUfTION License #: COURCC•181R7
SEWER CONNECTION J'1 1 $85.00 PROCESSING FEE
.,.. TotalPermit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES::30J$(t�•'M MONDAY THRU FRIDAY
.1ro
Call for inspection prior to cover. ONE WORKING DAY NO
Contractor or applicant is to field locate and confirm the elevatioE . I sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure thatltheyliaveaccep : ble grade and ate clear and unobstructed to the main sewer.
Sewer lines should be constructed to allow for gravity flow froxthefloiyest.{ veof the structure.
This permit must be presented to the job site inspector for „'�.-, ati9fi1'glol<p-.,,-xd cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT P
NOTIFIED. CALL BEFORE YOU DIG AT L
Spokane County Code requires the installer comp
those related to trench safety.
$15.00
$100.00
ALL BEFORE YOU DIG" CENTER BE
09)456-8000.
tate Dept of Labor and Industries, including
!"o a
PAVEllent,Spil lrntgr.I
Total Fees AmountPaid AmountOwing
Tran Date Receipt # Payment Amt
• $100.00 $100.00 $0.00 5/1/2003 ' 2767 $100.00. '
Processed By: BURRIS, ROBIN
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PERMIT