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1996, 08-12 Permit App: 96006479 Plumbing Fixtures
Zte, "2 _ • - PLUMBING PERMIT APPLICATION PROJECT ADDRESS: - OWNER: '('\C\ C (/V\. PHONE:DAYTIME CONTACT MAILING ADDRESS: (street) (city/state) (zip) CONTRACTOR: LICENSE: 1 "-j 3 — LICENSE: PHONE: MAILING ADDRESS: t . 7-3-6 C- . U3 .rv- 9 5 (street) (city/state) (zip) PLUMBING FIXTURES #OF mum. COST DESCRIPTION I DETAIL UNITS LIED /UNIT EQUALS AMOUNT 13G2 TOILETS WATER CLOSETS,BIDETS f x $6 = $ (- BOLURINALS x $6 = $ TUBS BATH,JACUZZI,SPA,GARDEN x $6 = $ B05 SHOWERS (per trap) BASE,STALL,ON-SITE BUILD x $6 = $ Apt SINKS LAVS/BASINS,BAR,FLOOR KITCHEN, x $6 = $ ......... LAUNDRY,UTILITY,JANITOR PHOTO, 1 X-RAY,FOOD(PREP/CULINARY/MEAT) BUT..DISHWASHER x $6 = $ SG&CLOTHES WASHER x $6 = $ ap9.!i GARBAGE DISPOSAL/GRINDER x $6 = $ Bial WATER SOFTENER x $6 = $ ELECTRIC HOT WATER TANKS (NOTE: if gas water tank,see mechanical) X $6 = $ NIT FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE x $6 = $ ROOF DRAINS/OVERFLOW DRAINS(ea x $6 = $ 1114:FOUNTAINS,DRINKING x $6 = $ WATER PIPING/DRAIN-WASTE-VENT/ INSTALLATION,ALTERATION,REPAIR, X $6 = $ .......... PLUMBING REVERSALS REVERSALS M6 SEWAGE EJECTORS GRINDER.SUMP PUMP x $6 = $ BUT WATER USING DEVICES ICE AND/OR COFFEE MAKER, X $6 = $ HOSE BIB,STEAMER,PROOPhR, CARBONATOR,SWAMP COOLERS B1 CROSS-CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, x $6 = $ AND R.P.B.P.D.FOR VATS,SUMPS, TANKS,BOILERS,&SPRINKLER SYSTEMS B1 INTERCEPTORS GREASE TRAP.SAND TRAP, X $6 = $ CHEMICAL HOLDING TANK 02(:). MEDICAL GAS(per outlet/bottle station) NITROUS.OXYGEN x $6 = $ ;got MISCELLANEOUS FIXTURES x $6 = $ NOTE: MINIMUM PERMITFEE IS $35.00 Subtotal I `g .co PLUS: PROCESSING FEE $25.00 SIGNATURE: TOTAL PERMIT FEE DUE $ 0 MLEASVMAKErifECOMAYAMIVIME:g Spokane County Division of Building&Planning SPOKANE COUNTY PERMiT CENTER 1026 W. Broadway Avenue*Spokane,WA 99260 Tel. No. (509)456-3675*Fax No. (509)324-3198*TDD No. (509)324-3166 Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or activities. 7/6/95\nustarkplumporot.lead