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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