2003, 04-22 Permit: BD-03-107 Plumbing ReversalValley E.
PLUMBING PERMIT
03- /o7
APPLICAT
PROJECT
ADDRESS: .6.. 42O
r
6"-
E‘..44YPHONE(Daytime
DETAILS
PERMIT 1 I� pj� {� ,
USE: ���/11' 113 y���1
Contact):
OWNER: .E -Z
MAILING ADDRESS:
Lri ce
"e2-
1
(street)
(city/state) (zip)
CONTRACTOR:
✓REGIA
/
�0,,x,
$6
LICENSE#:
e, I 6,c G 6,01. eTLc�
MAILING ADDRESS:
2
URINALS
PHONE #: l
f320205-- '_' 2/POT 7
/n.,, . 792,;
'$6
(street)
(city/state) (z p)
3
TUBS •
P MINN* FIXTURES
BANBCARD NUMBER:
AUTHORIZED SIGNATURE:
DESCRIPTION
DETAILS
# of rs
X
COST
EQUALS
• AMOUNT
1
TOILETS •
WATER CLOSET, BIDETS
X
$6
2
URINALS
X
'$6
.
3
TUBS •
X
$6
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6
5
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X
$6
6
DISHWASHER
X
$6
.
7
CLOTHES WASHER
X
$6
.
8
GARBAGE DISPOSAL
,
X
$6
a
9
WATER SOFTENER
X
$6
.
10
ELEC HOTWATER TANK
NOTE: IF GAS SEE MECHANICAL
X
$6
=
11
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
X
$6
.
12
FOUNTAINS, DRINKING
X
$6
.
13
WATER PIPING/DRAIN-IN
WASTE, VENT;
PLUMBING REVERSAL
INSTATE TION,
REPAI REVERS
X
$6
.
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X•
$8
.
15
WATER USIN(S DEVICE
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER
CARSONATOR, SWAMP COOLER
X
$6
ic
16
CROSS CONNECTION
DEVICE
'
VACUUM BREAKER, CHECK •
VALVE, AND R.P.B.P.D. FOR
VATS, SUMPS, TANKS, BOILERS
X
$6
et
17
SPRINKLER SYSTEM
X
$25
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6
.
19
MEDICAL GAS per outlet
NITROUS,OXYGEN
X
$8
.
20
MISC PLUMBING FIXTURE
X
$6
.
SUBTOTAL
is
ID calx
•
CHECK ❑ 11111511110
FAXED PEWITS WILL ONLY BE
CP A MAJOR CREDIT
.416
ACCEPTED
WITH PAYMM
CARD
PLUS PROCESSING
FEE
$.35,00
DATE: _... - Pimm RC.
TOTAL PERMIT FEE
DUE
qI
BANBCARD NUMBER:
AUTHORIZED SIGNATURE:
Un01P /01/ 'lc,- � ° , ,o
5'n 4
��roc -o3 K/�,
Site Information
Project Information
Site Address: 6420E 9TH AVE
SPOKANE, WA 00000
Parcel Number: 35243.0421
Subdivision:
Block Lot:
Zoning: UR -3 Urban Residential 3.5
Owner: CLARK, GLEN C
Address: 6420 E 9TH AVE
SPOKANE, WA 99212-0177
Building Inspector: MARC STRAUB
Water Dist:
Project Number: 03002543 Inv: 1 issue Date 4/16/2003
Perm it Use: SEWER CONNECTION - WOODLAWN
Applicant: BAILEYS CONSTRUCTION
E. 3707 28TH
SPOKANE, WA 99223
Contact: BAILEYS CONSTRUCTION
E. 3707 28TH
SPOKANE, WA 99223
Phone: (509) 532-0705
Phone: (509) 532-0705
Setbacks - Front: Left: Right: Rear:
Group Name:
eject Name:
Sewer Connection Permit
Permits i
Contractor: BAILEY -S CONSTRUCTIT
SEWER CONNECTION A. I
FOR SEWER INSPECTIONS CALL (509) 477-3604
FA
License #: BAILEC*0881W
Call for inspection prior to cover. ONE WORKING DAY NO
Contractor or applicant is to field locate and confine the elevati
Sewer stubs are to be checked prior to connection to ensure that
Sewer lines should be constructed to allow for gravity flow fro/4
This permit must be presented to the job site inspector for,ye
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT
NOTIFIED. CALL BEFORE YOU DIG AT LEA
Spokane County Code requires the installer coin
those related to trench safety.
$85.00 PROCESSING FEE
Total Permit Fee:
ONDAY THRU FRIDAY
sewer stub prior to any other excavation.
ble grade and are clear and unobstructed to the main sewer.
of the structure.
d cables, gas piping, water lines, etc.
515.00
$100.00
uirehrehYs of1he
BEFORE YOU DIG" CENTER BE
09)456-8000.
to Dept of Labor and Industries, including
Total Fees
$100.00
AmountPaid
$100.00
AmountOwinv
$0.00
Tran Date
4/16/2003
Processed By: BURRIS, ROBIN
Printed By: WENDEL, GLORIA Page 1 of I
Receipt # Payment Amt
2394 $100.00
PERMIT