1993, 05-26 Permit App: 93003980 Sprinkler System ION FORM
PLUMBING PERMIT APPLICAT Lic),�
1-9-L e
Information Wsheet t
B STREET ADDRESS: ) b H S d
CI S '� /1��-CJJ
CITY/STATE/ZIP: t �l' PARCEL NUMBER: 1 � j
8 , ,
OWNER: �' �� I �sFb
PHONE NUMBER: PI.�gba�`
L�
MAILING ADDRESS: 1 CI 1 ' Wo
(Street) (City/State) (Zip)
CONTRACTOR: LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:
(Street) (City/State) (ZiP)
PLUMBING WORKSHEETIFEE SCHEDULE
NUMBER X EACH
DESCRIPTION • OF UNITS UNIT =AMOUNT .,
TOILETS { x 6.00 =
r % •' .\v L� t ` 't` .^ x 6.00 = -
k:.�.saw:�x{CaC. �': ••� ... x 6.00 =
SHOWERS x 6.00
.. i.;f:...•: y...}. { x, 3' a •.• 4 =
BA ' :l E 4}� p
rxii::•ii: 4 ».•...•i'll. f x 6.00 —
K.
KITCHEN SINKS ,. =
{. . i . -, • .;, i,,a x6.00 =:.:. i ,ate ;a�w ,> : ,i .,
GARBAGE DISPOSAL x 6.00
,_ { <.:::z<;�{ x 6.00
�;{:::,:.i::::,.. ,:��::� •' x 6.00 =
UTILITY SINKS
}{}' {`�,�{,�y .y.;.N.yC f'{�'• •Y v ':. { :'� 4� x 6.00 2--
FLOOR
h•:ii::i•}:biC•i.{.•it$h .•:iR•'ri[4i � �.
FLOOR DRAINS • x 6.00 =
x 6.00'=
BAR SINKS _
{.,v. f{., {{ _
- . . : "N: x 6 00
ih-0'f....h:h.:t nxJ.�.{W}:�
LAWN SPRINKLER-FOR EACH BACKFLOW DEVICE 1 x 6.00 =
.{:.w:.{::pih• W.
'/�>� . �,1 8 x6.00.
• WATER SOFTENER x 6.00 =
ratira {'", ,�Y " ' ° ° x 6.00
...:..ais:{vu:: A::,�•'. .... a 4.: Sotet,�:,� •xax..,;c::baEaia7sx:
DRINKING FOUNTAIN x 6.00 =
SUBTOTAL $
PLUS: PROCESSING FEE +$ 25.00
NOTE: MINIMUM PERMIT FEE IS$35.00 EQUALS:TOTAL PERMIT .
FEE DUE _$
SIGNATURE
Spokane County Division of Buildings
• woct 1 nnn Rrnariwav Avenue Spokane. WA 99260 (509) 456-3675