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1994, 10-26 Permit App: 94010737 Plumbing Reversal
c( q_, / o7 3 / PLUMBING PERMIT—APPLICATION PROJECT ADDRESS: /G,(F-o 7 F--, 9 - 5 Pc) J x )F_, 1--1)^ , 4'j2c-6 OWNER: L(_. 0.--1.D. A. p., L. 1 c i; <r) L r;, i. ✓ p PHONE: 4 ie —5 Lo `13 MAILING ADDRESS: ?`-i 2 4 Jv , 5 h )•.) U t' D ,{` , 5 P O K A,..i,! t-,_,/A , 7 2 (street) (city/state) (zip) CONTRACTOR: (=o)e D c o 5 i pZ V C 7) 0-) LICENSE: PHONE: MAILING ADDRESS: (street) (city/state) (zip) PLUMBING FIXTURES #OF wain- COST DESCRIPTION I DETAIL UNITSmeow! /UNIT sQuwu AMOUNT 1302 TOILETS WATER CLOSETS,BIDETS X $6 = $ 1303 URINALS - x $6 = $ 1104 TUBS BATH,JACUZZI,SPA.GARDEN X $6 = $ 5 SHOWERS(per trap) BASE,STALL,ON—SITEBUILD x $6 = $ 110.6 SINKS LAVSBASINS,BAR.FLOOR,KITCHEN, X $6 = $ LAUNDRY,UTB.ITY,JANITOR.PHOTO, X—RAY,FOOD(PREP/CULINARY/MEAT) 1307 DISHWASHER - x $6 = $ B08 CLOTHES WASHER - x $6 = $ B09 GARBAGE DISPOSAUGRINDER - x $6 = $ 1310 WATER SOFTENER - x $6 = $ Ell ELECTRIC HOT WATER TANKS (NOTE: it gas water tank,see mechanical) X $6 = $ 1312 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 = $ 1313 ROOF DRAINS/OVERFLOW DRAINS(ea.) — x $6 = $ B14 FOUNTAINS,DRINKING - x $6 = $ 1315 WATER PIPING/DRAIN-WASTE-VENT/ INSTALLATION,ALTERATION,REPAIR, i x $6 = $j. `•-L9-- PLUMBING L9PLUMBING REVERSALS REVERSALS 1316 SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $ 1317 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.P.D.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 FERMI EE IS$35.00 Subtotal PLUS: PROCESSING FEE $25.00 SIGNATURE: /1 ,„/ gi _ 2'-,‘,..1.-_ _ TOTAL PERMIT FEE DUE $ 3'5,"'IL 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)456-4703 •TDD No. (509) 324-3166 \MASTER\PLU MPER M.HN D