1995, 01-17 Permit App: 95000239 Plumbing Reversal 03/31/1992 20:05 509-9284306 RON SLOAN PAGE 02
PLUMBING PERMIT APPLICATION Gtt .23 9
PROJECT ADDRESS:
OWNER: PO Pe ,PHONE: 9,02.1 - 7'5-0 0MAILING ADDRESS: 6- . /a 0 i f" 6 1-.2± 9 4.D/!A
(street) (city/state) (zip)
CONTRACTOR: A . I? r/VE LICENSE: le_m/0_)-"
,77 PHONE: 9 Z. -. 1'Z�Ci
MAILING ADDRESS: U'jf /V/54,02 S/', />7/1/- q./t/
(street) (city/state) (zip)
PLUMBING FIXTURES ' #OF ronin_ COST
�. A1i$CRIPTION jlETAIL Iat� _nnoar snow AMOUNT
:802 TOILETS WATER CLOSEr&MOMS x S6 = S
:B . URINALS -
x $6 S
ON TUBS
;. ., ,BATH,JACUZZI,SPA.GARDEN z S6 = S
`805 SHOWERS(per trap) Mse,Ma.ON-SIr BMW x S6 = S
SINKS LAM/BASLERBAR.PLOORRrIVItEN, z S6 = S
, ;; LAUNDRY,UTIIEIY.JANITOR PHOTO. .
le, X-RAY,FOOD(PREECULINARY/MPAT)
DISH WASHER -
x S6 = S
Viti CLOTHES WASHER - x S6 = S
GARBAGE DISPOSALJGRINDER - x S6 = S
Bii WATER SOFTENER - z S6 - S
•811 ELECTRIC HOT WATER TANKS (NOTE: tpswsr Walk me ebehasIND z S6 in S
412 FLOOR DRAINS
:: ARBA.CAfRO0II.17t8►eos,Ca0ND8NSA'r8 x S6 = S
81S ROOF DRAINS/OVERFLOW DRAINS(a.) - _ x S6 = S
B14 FOUNTAINS,DRINKING - z S6 - S
315 WATER PIPING/DRAIN-WASTE-VENT/ tNsrAuATRON,ALTERATION.REPAM. x S6 = S
,; PLUMBING REVERSALS REVERSALS
BI6 SEWAGE EJECTORS ORWDBR SUMP PUMP x S6 = S
817 WATER USING DEVICES ICSANDpRCOFFER MAKER x S6 = S
ig HOSE am s1EAMBR.TROOFER.
,,..a CACARaONATOR,SWAMP cooLERS
81$CROSS-CONNECTION DEVICES VACUUM BREAXER.CHB=vALVE, x S6 = S
AND R,P.B.P.D.FOR:VATS SUMPS,
. TAM,BORERS,L SPRINKLERSYSTEMS
819 INTERCEPTORS oRBASETRA.SANDTRA! x S6 - S
: >- CHaStICAL HOWND TANK
Bid MEDICAL GAS(per outlet/bouts station) -NRROUs,OXYGEN x S6 = S
Bpi MISCELLANEOUS FIXTURES x 16 S
NOTE: MINIMUM PER i//r"._, IS$35.00 Subtotal
PLUS: PROCESSING FEE $25.00
SIGNATURE: / 4411.0 / _ TOTAL PERMIT FEE DUE S 3_5-
Buildiogs5lijihr+:H.74i.**7:41.141#00::ii.;
CGfii. > Ya: ; s:
tpotase County Division of .th 0 ,
1026 W.Broadway Averse •Spokane.W :�.*': .....
y
P
A 99260 ..,,.z:.<:;»
Pei.No.(509)456-3675• Paz No.(509)456-4703•TDD No.(509)324-3166