1996, 05-01 Permit App: 96002966 Sprinkler System (c,- acl(C.00
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS: $ i S Ai S l(l9 r7 ,/?DC)
OWNER: R o( 4 tj p-) /.) S C� 7V PHONE:DAYTIME CONTACT 53 c— - S 2.
MAILING ADDRESS: S 79-M E
(street) (city/state) (zip)
CONTRACTOR: �=Lt?P Z A N 0SCi46( _L 72te t 6t 112 ICENSE: EL l YE 2: 0 41af X-
PHONE: S 3 T Lea.g)
Tµ
MAILING ADDRESS: 6 a 5 E S pE) J LJ e- 1 '?9 ,::>.__3-
(street) (city/s ) (zip)
PLUMBING FIXTURES #OF MULTI- COSI
DESCRIPTION ( DETAIL UNITS LIED s /UNIT EQUALS AMOUNT
TOILETS WATER CLOSETS,BIDETS x $6 = $
B€)<URINALS - x $6 = $
;TUBS RAW,JACUZZI,SPA,GARDEN R $6 = $
BO SHOWERS(per trap) BASE,STALL,ON-SITE BUILD x $6 = $
K.::SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, x $6 = $
LAUNDRY,UTILITY,JANITOR,PHOTO,
X-RAY.FOOD(PRIG/CULINARY/MEAT)
DISHWASHER - x $6 = $
8O CLOTHES WASHER - x $6 = $
lik GARBAGE DISPOSAL/GRINDER - x $6 = $
Efii WATER SOFTENER - x $6 = $
;RI,ELECTRIC HOT WATER TANKS (NOTE if Saa water tank,see mechanical) X $6 = $
Rt FLOOR DRAINS AREA,CASE,COIL,TRENCH.CONDENSATE x $6 =lii.II ROOF DRAINS/OVERFLOW DRAIN - x $6 = $
BI` FOUNTAINS,DRINKING - x $6 = $
SI€ WATER PIPING/DRAIN-WASTE-VE INSTALLATION,ALTERATION,REPAIR, x $6 = $
iIiii§PLUMBING REVERSALS REVERSALS
if SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $
av WATER USING DEVICES ICE AND/OR COFFEE MAKER, x $6 = $
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLERS
RI CROSS-CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE,RBR 4 X $6 = $ v
n .
AND P. .P.D.FOR:VATS.SUMPS,
TANKS,BOILERS,ac SPRINKLER SYSTEMS
#t INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $
CHEMICAL HOLDING TANK
MEDICAL GAS(per outlet/bottle stati NITROUS,OXYGEN x $6 = $
Ili MISCELLANEOUS FIXTURES x $6 = $
NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal
PLUS: PROCESSING FE $25.00
SIGNATURE: �-1-6-.• IC2-----, TOTAL PERMIT FEE DU $
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Spokane County Department of Building&Planning > $PO COQ EMIT tENTElt
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.
7/6/93 1p1rporm.hd