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1995, 06-16 Permit App: 95004333 Plumbing Fixtures
PLUMBING PERMIT APPLICATION q5- (--( -3 . PROJECT ADDRESS: 6 b ify7 7 M 1)FL j c>POk_ /17JEl CA_) cj i -- OWNER: .. j--16\5()3 PHONE:DAYTIME CONTACT 535 -v1 75 MAILING ADDRESS: 3, yvi,E_ r+5 0-21Z©Trz-c-1- (street) (city/state) (zip) CONTRACTOR: /--kniq FL O to r..)(L/ LICENSE: _-- PHONE: — MAILING ADDRESS: `�ii-iii E 74-� P(Z p (street) (city/state) (zip) PLUMBING FIXTURES #OF 'sum- COST DESCRIPTION I DETAIL UNITS PLIED EY /UNIT EQUALS AMOUNT B02 TOILETS WATER CLOSETS,BIDETS I x $6 = $ B03 URINALS - x $6 = $ B04 TUBS BATH,JACUZZI SPA,GARDEN x $6 = $ -1305 SHOWERS(per trap) BASE,STALL,ON—SITE BUILD / x $6 = $ 1306 SINKS IAVS/BASINS,BAR.FLOOR,KITCHEN, X $6 = $ LAUNDRY,UTILITY,JANITOR,PHOTO, X—RAY,FOOD(PREP/CULINARY/MEAT) B07 DISHWASHER - x $6 = $ 1308 CLOTHES WASHER - x $6 = $ 7$09 GARBAGE DISPOSAL/GRINDER - x $6 = $ 1310 WATER SOFTENER - x $6 = $ B1•1 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank,see mechanical) x $6 = $ B12 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE x $6 = $ B13 ROOF DRAINS/OVERFLOW DRAINS(ea.) - x $6 = $ B14 FOUNTAINS,DRINKING - x $6 = $ 115 WATER PIPING/DRAIN—WASTE—VENT/ INSTALLATION ALTERATION,REPAIR, x $6 = $ PLUMBING REVERSALS REVERSALS B16 SEWAGE EJECTORS GRINDER SUMP PUMP I x $6 = $ B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, x $6 = $ HOSE BIB,STEAMER PROOFER, CARBONATOR,SWAMP COOLERS 1318 CROSS—CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, X $6 = $ AND R.P.B.PD.FOR:VATS SUMPS, TANKS BOILERS,&SPRINKLER SYSTEMS B19 INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $ CHEMICAL HOLDING TANK 1320 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x $6 = $ 1321 MISCELLANEOUS FIXTURES x $6 = $ NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal PLUS: PROCESSING FEE $25.00 SIGNATURE: Jcv- TOTAL PERMIT FEE DUE $ PLEASE MAKE CHECKS PAYABLE TO Spokane County Division of Buildings SPOKANE COUNTY PERMIT CENTER 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. tams War npl.Rsrm.d