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1995, 08-02 Permit App: 95005909 Plumbing Fixtures
w PLUMBING PERMIT APPLICATION PROJECT ADDRESS: /Us// e, /Y 1:a „6,, x,,)1 9 5 O OWNER: e--Di >y/, (2f,-.4_, PHONE:DAYTIME CONTACT 9 QP-73 7� MAILING AD SS: ,:3iy ( 6. e,ii. .. (street) -,-,,,„,-A,‘„,.., 9 9(city/state) 6.i (aP) CONTRACTOR: e,y, LICENSE: PHONE: MAILING ADDRESS: /3/s/ s", ( o 6e r/. c d y II))1 9 J 6 (street) / ty/state) (zip) PLUMBING FIX PUkES 110F MULTI. COST DESCRIPTION 1 DETAIL UNITS LIED a /UNIT EQUAL/ AMOUNT IffX TOILETS WATER CLOSETS.BIDETS / x $6 = $ I* URINALSx $6 = $ TUBS BATH,JACUZZI,SPA,GARDEN / x $6 = $ SHOWERS(per trap) BASE,STALL,ON-SITE BUILD x $6 = $ SINKS LAVSBASINS,BAR,FLOOR,KITCHEN, x $6 = $ LAUNDRY,UTILITY,JANITOR PHOTO, iliii X-RAY,FOOD(PREP/CULINARY/MEAT) 1 DISHWASHER - / x $6 = $ CLOTHES WASHER - x $6 = $ lEie GARBAGE DISPOSAL/GRINDER - x $6 = $ BI WATER SOFTENER - x $6 = $ 11 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank,see mechanical) / x $6 = $ B1':`FLOOR DRAINS AREA,CASE,COIL TRENCH,CONDENSATE x $6 = $ Bp ROOF DRAINS/OVERFLOW DRAIN - x $6 = $ 1311 FOUNTAINS,DRINKING - x $6 = $ Br WATER PIPING/DRAIN-WASTE-VE INSTALLATION,ALTERATION,REPAIR, x $6 = $ ? z+PLUMBING REVERSALS REVERSALS / 11 SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $ Al!ii WATER USING DEVICES ICE AND/OR COHrhh MAKER, x $6 = $ HOSE BIB,STEAMER,PROOFER, CARBONATOR.SWAMP COOLERS 131 CROSS-CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, X $6 = $ AND R.P.B.P.D.FOR:VATS,SUMPS, :; .>;. TANKS.BOILERS,&SPRINKLER SYSTEMS itt INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $ Miii CHEMICAL HOLDING TANK Bi MEDICAL GAS(per outlet/bottle stati NITROUS,OXYGEN x $6 = $ pi MISCELLANEOUS FIXTURES x $6 = $ NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal PLUS: PROCESSING FE $25.00 SIGNATURE: ,,.r >/'/, ( ,,,,,tjr,G TOTAL PERMIT FEE DU $ Spokane ane Count Department e artmen t of Building&Planning -$ ... �r ; ...a. 1026W Broadway Avenue Spokane,WA 99260 .. . . ..... . . ; ... . .......... ..., : . Tel.No.(509)456-3675*Fax No.(509)324-3198*TDD No.(509)324-3166 Spokane County does not discriminate on the basis of disability in the admission to,or treatment or employment in,its programs or activities. 71615 i..+..Ndtmcona.ra