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1994, 11-14 Permit App: 94011378 Plumbing Fixtures PLUMBING PERMIT'APPLICATION PROJECT ADDRESS: OWNER: C,DC,-)/x., S- e�t1i,,,,,j PHONE: 9�0: S 744 MAILING ADDRESS: Z 2- .3c 6 C, 04,L,E—r= Q 71/5 0 rc I,x,.,17 S C.i/,' 99(,)07 7 c3)� (street) (city/state) (zip) CONTRACTOR: S-4' l �� LICENSE:To R/r7--c 0 77ivi,,J PHONE: --)',.;„,2 S-"Ili e MAILING ADDRESS: 72 3 34 C• D C Lit- € Q-1 s' O ,c4,,,./95 U✓G `Yjv of 7 (street) (city/state) (zip) PLUMBING FIXTURES # OF mum- COST DESCRIPTION I DETAIL UNITS PLIBDEY /UNIT EQUALS AMOUNT B02 TOILETS WATER CLOSETS,BIDETS / X $6 = $ t!^ BIY3 URINALS - x $6 = $ B04 TUBS BATH,JACUZZI,SPA,GARDEN J X $6 = $ li B05 SHOWERS(per trap) BASE,STALL,ON-SITE BUILD x $6 = $ B06 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, X $6 = $ LAUNDRY,UTILITY,JANITOR,PHOTO, 3 1 _X-RAY,FOOD(PREP/CULINARY/MEAT) B07 DISHWASHER - / x $6 = $ B08 CLOTHES WASHER - / x $6 = $ (, B09 GARBAGE DISPOSAL/GRINDER - x $6 = $ B10 WATER SOFTENER - x $6 = $ B11 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank,see mechanical) / x $6 = $ L B12 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 = $ B13 ROOF DRAINS/OVERFLOW DRAINS(ea.) — x $6 = $ B14 FOUNTAINS,DRINKING - x $6 = $ B15 WATER PIPING/DRAIN-WASTE-VENT/ INSTALLATION,ALTERATION,REPAIR, X $6 = $ PLUMBING REVERSALS REVERSALS B16 SEWAGE EJECTORS GRINDER,SUMP PUMP X $6 = $ 1317 WATER USING DEVICES • , 0 •R COFFEE MAKER, x $6 = $ HOSE BIB," 'AMER,PROOFER, *a C .. • •R,SWAMP COOLERS B18 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 = $ B21 MISCELLANEOUS FIXTURES x $6 = $ NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal y , OD PLUS: PROCESSING FEE $25.00 SIGNATURE: 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 Fax No. (509)456-4703 'TDD No. (509) 324-3166 NAST ER\PLUM P ER M HND