2003, 10-15 Permit App: BLD-03-02788 Plumbing Fixtures*ohne
4,,FValley
Plumbing Permit Application
11707 East Sprague Avenue, Suite 106 509-688-0036 - Phone
Spokane Valley, WA 99206 509-688-0037 - Fax
For Inyections, call 509-688-0054
PROJECT ��JJ
ADDRESS: / 7o 6—A) ,l4 w k%J
C!J
PERMIT
USE:
DETAILS
OWNER: EAA/f75
PHONE (Daytime Contact):
COST
MAILING ADDRESS:
/ 7o 6" R>. C.0 117/9 rt.} "CI—5eo�,ta,P
C1_49 Paq'
(street) (city/state) • (ZIP)
TOILETS
CONTRACTOR TicCoon S
/
LICENSE S
$6
-
(j 100
MAILING ADDRESS: 4/
gom� .� /-41,4,41 /�Q�%-
C—hPn71-, C/ GPJf,
PHONES: ---e9-- 9
67610
71'00r
(street) (
(city/state) (ZIP)
PLUMBING FIXTURES
METHOD OF
❑ CASH
DATE:
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
DESCRIPTION
DETAILS
# OP UNITS
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
/
X
$6
-
(j 100
2
URINALS
X
$6
-
3
TUBS
X
16
-
4
SHOWERS (PER TRA?)
BATH, STALL, ON-SITE BUILT
/
X
$6
-
/ 00
5
SINKS
LAVS/BASINS, BAR FLOOR KITCHEN,
LAUNDRY, UTILITY, JANITOR PHOTO, X-
RAY, FOOD, PREP/CULINARY/MEAT
/
X
56
-
�Q
G .00
6
DISHWASHER
X
$6
-
7
CLOTHES WASHER
X
56
-
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
$6
-
12
FOUNTAINS, DRINKING
X
56
-
13
WATER PIPING/DRAIN-IN
WASTE, VENT, PLUMBING.
REVERSAL
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
/
X
�'
cD
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
RP.B.P.D. FOR VATS, TANKS, BOILERS
X
-
17
SPRINKLER SYSTEM
X
525-
18
INTERCEPTORS
GREASE TRAP, SAND TRAP, CHEMICAL
HOLDING TANK
X
$6
..
19
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
86
-
20
MISC. PLUMBING FIXTURE
X
56
-
PAYMENT
3 CHECK
I
R'rsttkate
— ._. - .. ,
SUBTOTAL:
O� '7 ,. T/
PLUS PROCESSING FEE:
$35.00
■ ■
TOTAL PERMIT FEE DUE:
, Oa
BANKCARD NUMBER
AUTHORIZED SIGNATURE:
Site Information "Project Information
Site Address: 1705 N WILLOW RD
SPOKANE, WA 00000
Parcel Number: 45083,0323
Subdivision:
Block: Lot:
Zoning: LINK Unknown
Owner: EVANS, LAWRENCE H & JULI.R
Address: 1705 NWILLOW RD
SPOKANE, WA 99206
Building Inspector: BOBBY STONE
Water Dist:
Project Number: 03007267 Inv:1 Issue Date:
Permit Use: SEWER CONNECTION - MISSION
10/7/2003
Applicant: TLC CONSTRUCTION
9006 S HAYFORD
CHENEY, WA 99004 Phone: (509) 927-6760
Contact: TLC CONSTRUCTION
9006 S HAYFORD
CHENEY, WA 99004 Phone: (509) 927-6760
Setbacks - Front: Left: Right: 'Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: TLC CONSTRUCTION
License#: TLCCO**107M6
SEWER CONNECTION
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIEI
ift
Call for inspection prior to cover. ONE WORKING DAY NO
Contractor or applicant is to field' locate and confirm the elevati e s . ; i . sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that 't�-aephable grade and are clear and unobstructed to the main sewer.
Sewer lines should be censtmoted4oallow-forgravity-flow£rontthe4owccst4ey4 of the structure.
This permit must be presented to the job site inspector for ve ati4. 7ro (tat -..„. 'ed cables, gaS piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000.
$85.00 PROCESSING FEE
Total Permit Fee:
M MONDAY THRU FRIDAY
$15.00
$100.00
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.
"CALL BEFORE YOU DIG" CENTER BE
509)456-8000. ••
tate Dept of Labor and Industries, including
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
ran -Date Receipt# Payment Amt
10/7/2003 6388 '$100.00 -
Processed By: BURRIS, ROBIN
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT