1996, 09-03 Permit App: 96007277 Plumbing Fixtures PLUMBING PERMIT APPLICATION
PROJECT ADDRESS: . 5 /V. %S/ --)-2--?r�)c ,
OWNER: fijC/L,-,-? "---/A,-1-y-?.----1) ,^, PHONE:DAYTIME CONTACT �,G '—/%.9
MAILING ADDRESS:,_3 G ,/.34:1.2- .--7 ; ‘7'_ -",%17.z.-,-�r L--'''-4' ' o, 7
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CONTRACTOR: .m, yry (�v2574}z,:.,,:;t>J,-1 LICENSE:4, 5-/c // AI I
PHONE: .9.-.?, - '56".
MAILING ADDRESS: G. C/3c."z /17/--,?6'',..R ,Z_
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PLUMBING FIXTURES #OF wanTM COST
DESCRIPTION I DETAIL UNITS LIED s /UNIT EQUALS AMOUNT
BOZ TOILETS WATER CLOSETS,BIDETS x $6 = $
BGT URINALS - x $6 = $
BO.4 TUBS BATH,JACUZZI,SPA,GARDEN / x $6 = $
BGS SHOWERS(per trap) BASE,STALL,ON-SITE BUILD / x $6 = $
B SINKS IAVS/BASINS,BAR,FLOOR,KITCHEN, x $6 = $
:s::` LAUNDRY.UTILITY,JANITOR,PHOTO, fo
is>.y,s:>E X-RAY,FOOD(PREP/CULINARY/MEAT) _ \1c-
7?DISHWASHER - / x $6 = $
ROB€ CLOTHES WASHER - / x $6 = $
BY GARBAGE DISPOSAL/GRINDER - x $6 = $ CZ
RI&WATER SOFTENER - x $6 = $
I
B I €�ELECTRIC HOT WATER TANKS (NOTE: if gu water tank,see mechanical) x $6 = $
RI2>FLOOR DRAINS AREA,CASE,COIL.,TRENCH,CONDENSATE X $6 = $
BI`3 ROOF DRAINS/OVERFLOW DRAINS(ea - x $6 = $
Bio FOUNTAINS,DRINKING - x $6 = $
Bi : WATER PIPING/DRAIN-WASTE-VENT/ INSTALLATION,ALTERATION,REPAIR, x $6 = $
iiiaiiii PLUMBING REVERSALS REVERSALS
B16 SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $
RAZ WATER USING DEVICES ICE AND/OR COFFEE MAKER, x $6 = $
HOSE BIB,STEAMER,PROOFER,
CARBONATOR,SWAMP COOLERS
B1$`CROSS-CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, It $6 = $
AND RP.B.P.D.FOR VATS,SUMPS,
TANKS,BOILERS,&SPRINKLER SYSTEMS
R4 INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $
'' CHEMICAL HOLDING TANK
B20 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x $6 = $
BIL MISCELLANEOUS FIXTURES x $6 = $
NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal
PLUS: PROCESSING FEE $25.00
SIGNATURE:.---)// Q (- --/1.4.;//t,..,-----17—_,V--/ TOTAL PERMIT FEE DUE $
CKS:PAYABLE T :.:::.::;;:
Spokane n
e Count Division
of Building
&Planning12
06WB
Broadway Avenue eue Spokane,ae WA 2
Pok
99 60
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 NautenplomprmAnd