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1994, 10-12 Permit App: 94010119 Plumbing Fixtures PLUMBING PERMIT APPLICATION q , )0 PROJECT ADDRESS: OWNER: PHONE: MAILING ADDRESS: (street) (city/state) " (zip) CONTRACTOR: LICENSE: PHONE: MAILING ADDRESS: (street) (city/state) (zip) PLUMBING FIXTURES #OF bcuLn- COST DESCRIPTION 1 DETAIL UNITS PUBDEY /UNIT EQUALS AMOUNT B02 TOILETS WATER CLOSETS,BIDETS / X $6 = $ / �' B03 URINALS - x $6 = $ 04 TUBS BATH,JACUZZI,SPA,GARDEN X $6 = $ 00 SHOWERS(per trap) BASE,STALL,ON—SITE BUILD / X $6 = $ XDV Bob SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, x $6 = $ LAUNDRY,UTILITY,JANITOR,PHOTO, - X—RAY,FOOD(PREP/CULINARY/MEAT) 130.7 DISHWASHER - x $6 = $ 80.8 CLOTHES WASHER - x $6 = $ B09 GARBAGE DISPOSAL/GRINDER - x $6 = $ BlO WATER SOFTENER - x $6 = $ Bll ELECTRIC HOT WATER TANKS (NOTE: if Sas water tank see mechanical) x $6 = $ B12 FLOOR DRAINS AREA,CASE,COIL TRENCH,CONDENSATE x $6 = $ $1 i ROOF DRAINS/OVERFLOW DRAINS(ea.) - x $6 = $. B.14 FOUNTAINS,DRINKING - x $6 = $ B:1:5 WATER PIPING/DRAIN-WASTE-VENT/ INSTALLATION,ALTERATION,REPAIR, x $6 = $ ? >PLUMBING REVERSALS REVERSALS Bib SEWAGE EJECTORS GRINDER,SUMP PUMP X $6 = $ B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, X $6 = $ -HOSE BIB,STEAMER,PROOFER, CARBONAR.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 = $ 1321 MISCELLANEOUS FIXTURES x $6 = $ NOTE: MINIMUMPERMIT FEE IS$35.00 Subtotal igO° PLUS: PROCESSING FEE $25.00 - SIGNATURE: 74.4,(A0.---',,(A /"Y4,1 " TOTAL PERMIT FEE DUE $ riFERNMEENNEMENEEppiEN A ..MAKE. Pka :CHCKS.PAX.E ASt :, o nc CountyBuildings Division of B u'td' s go iM PO �4 NE CQU.NTY;PER1fIT;CEIAER:; 0NORMEMENNEEMEMMENEM26 W. Broadway Y Avenue • Spokane,ne WA 99260 'el.No.(509)456-3675 Fax No. (509)456-4703 TDD No.(509)324-3166 IASTER1►LUMrERILUND