2003, 04-11 Permit: BD-03-049 Plumbing ReversalSliaane
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PLUMBING PERMIT APPLICATION
PROJECT 6 9 0 9 L
ADDRESS: & ,
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9 ' r-
DETAILS
PERMIT
USE:
OWNER: Kc rY mkp k
COST
EQUALS
me
PHONE (DaytiContact):
MAILING ADDRESS: 6'1 09
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if 9 71-t
WATER CLOSET, BIDETS
(street) Spo -
(city/state) (&) a , (zip) (f' a ) 2
CONTRACTOR:
D. cQUQ6N2A\i-Q...
OS5n.,S4"'
2
LIgqENSE if:
C0 tate if& 181 KI
MAILING ADDRESS:
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Araec
PHONE*: '
6-07 gay -g LIES
tia, 9901A
(street)
(city/state) (z p)
PLUMBING FIXTURES
BANRCARD NUMBER:
AUTHORIZED SIGNATURE
DESCRIPTION
DETAILS
it as uwn,
X
COST
EQUALS
AMOUNT
1
TOILETS
WATER CLOSET, BIDETS
X
$6
2
URINALS
-
X
'$6
•
3
TUBS
X
$6
is
4
SHOWERS (PER TRAP)
BATH, STALL, ON-SITE BUILT
X
$6
•
5
SINKS
LAVSIBASINS, BAR, FLOOR,
KITCHEN, LAUNDRY; UI7LITV,
JANITOR, PHOTO, X-RAY, FOOD,
PREP/CULINARY/MEAT
X
$6
'
•
6
DISHWASHER
X
86
7
CLOTHES WASHER
X
$6
•
8
GARBAGE DISPOSAL
X
$6
•
B
WATER SOFTENER
X
$6
•
10
ELEC HOT WATER 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
INSTALLATION, ALTERATION,
REPAIR, REVERSALS
X
$6
•
14
SEWAGE EJECTOR
GRINDER, SUMP PUMP
X-
$6
15
WATER USING DEVICE
ICE AND/OR COFFEE MAKER,
HOSE BIB STEAMER, PROOFER
CARBONATOR, SWAMP COOLER
X
$6
16
CROSS CONNECTION
DEVICE
VACUUM BREAKER, CHECK •
VALVE, AND R.P.B.P.D, FOR:
VATS, SUMPS, TANKS, BOILERS
X
$6
•
17
SPRINKLER SYSTEM -
X
$25
18
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
X
$6
18
MEDICAL GAS per outlet
NITROUS, OXYGEN
X
$6
•
20
MISC PLUMBING FIXTURE
X
$6
•
❑
^
cam{ ❑ CHECK In = ❑ a
PASPL PERMITS WILL ONLY BE ACCEPTED WITH PAYt6M
OP AMAJOR CREDICARD
.� _ __
SUBTOTAL
in .19°
PLUS PROCESSING
FEE
$35.00
TOTAL PERMIT FEE
DUE
i I r Do
BANRCARD NUMBER:
AUTHORIZED SIGNATURE
Site Information
Project Information
Site Address: 6909 E 9TH AVE
SPOKANE, WA 99212
Parcel Number: 35244.0311
Subdivision: WOODLAWN PARK
Black: Lot:
Zoning: UNK Unknown
Owner: KOMAREK, AL
Address: 6909E 9TH AVE
SPOKANE, WA 99212
Building Inspector: MARC STRAUB
Water Dist:
Project Number: 03002327
sue Date: 4/8/2003
Permit Use: SEWER CONNECTION - WOODLAND/BEVERLY HILLS
Applicant: COURCHAINE EXCAVATION
19818 E SPRAGUE
GREEENACRES, WA 99016
Contact: COURCHAINE EXCAVATION
19818 E SPRAGUE
GREEENACRES, WA 99016 Phone: (509) 924-5485
Setbacks - Front Left: Right: Rear:
Phone: (509)924-5485
Group Name:
Project Name:
Petlnits
Sewer Connection Permit
Contractor:' h.,OURCBAEil CbN$TRUCTION
SEWER CONNECTION
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES
Call for inspection prior to cover. ONE WORKING DAY NO
Contractor or applicant is tofield locate and confirm the elevatl
Sewer stubs are to be checked prier to connection to ensure tha
Sewer lines should be constructed to allow for gravity flow from
This permit must be presented to the job site inspectorfor
CALL BEFORE YOU DIG, (509)456-8000.
STATE LAW RCW 19.122 REQUIRES THAT PRI
NOTIFIED. CALL BEFORE YOU DIG AT L
Spokane County Code requires the installer comp
those related to trench safety.
License#: COURCC•181R7
$85.00 PROCESSINGFEE
Total Permit Fee:
ONDAY THRU FRIDAY
sewer stub prior to any other excavation.
ble grade and are clear and unobstructed to the main sewer.
the structure.
(,. d cables, gas piping, water lines, etc.
S15.00
$100.00
ALL BEFORE YOU DIG" CENTER BE
09)456-8000.
to Dept of Labor and Industries, including
Bje
m
Total Fees AnmuntPaid Amount(win; ' Tian Date
$100.00 $100.00 $0:0Q 4/82003
Processed By: SHATTO, JULIE
Printed By: WENDEL, GLORIA Pape 1 of 1
Receipt fi
2184
Payment Amt
$100.00
PERMIT