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1994, 11-04 Permit App: 94011044 Plumbing Reversal , • PLUMBING PERMIT APPLICATION qii i6 4- I'ROJC'1' EADDRESS: ` OWNER: PHONE: MAILING ADDRESS: (street) (city/state) (zip) CONTRACTOR: LICENSE: PHONE: MAILING ADDRESS: (street) (city/state) (zip) PLUMBING FIXTURES # OF MULTI- COST DESCRIPTION I DETAIL UNITS rutin BY /UNIT BQUArs AMOUNT 1302 TOILETS WATER CLOSETS,BIDETS X $6 = $ B03 URINALS - x $6 = $ 1304 TUBS BATH,JACUZZI,SPA,GARDEN X $6 = $ 1305 SHOWERS(per trap) BASE,STALL,ON—SITE BUID x $6 = $ B06 SINKS LAVSBASINS,BAR,FLOOR,KITCHEN, x $6 = $ LAUNDRY,UTILITY,JANITOR,PHOTO, X—RAY,FOOD(PREP/CULINARY/MEAT) B0.7 DISHWASHER - x $6 = $ 1308 CLOTHES WASHER - x $6 = $ B09 GARBAGE DISPOSAL/GRINDER - x $6 = $ B10 WATER SOFTENER - x $6 = $ 1131i ELECTRIC HOT WATER TANKS (NOTE: If bas water tank see mechanical) x $6 = $ B12 FLOOR DRAINS AREA,CASE,COIL TRENCH,CONDENSATE x $6 = $ B13 ROOF DRAINS/OVERFLOW DRAINS(ea.) - x $6 = $ B14 FOUNTAINS,DRINKING - x $6 = $ B1S WATER PIPING/DRAIN-WASTE-VENT/ INSTALLATION,ALTERATION,REPAIR, x $6 = $ PLUMBING REVERSALS REVERSALS / eel B16 SEWAGE EJECTORS GRINDER SUMP PUMP X $6 = $ B17 WATER USING DEVICES ICE AND/OR COFFEE MAKER, x $6 = $ HOSE BIB,STEAMER,PROOFER, CARBONATOR,SWAMP COOLERS Bis 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 B20 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x $6 = $ B21 MISCELLANEOUS FIXTURES x $6 = $ NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal PLUS: PROCESSING FEE $25.00 SIGNATURE: TOTAL PERMIT FEE DUE $ 35°' 1'LEASC MAKE CIIECKS PA`XABLE TO, tpokanc County Division of Buildings SPOKANE COUNTY PERMIT CENTER 026 W. Broadway Avenue • Spokane,WA 99260 rel.No.(509)456-3675 • Fax No. (509)456-4703 *TDD No. (509) 324-3166 4ASIERvt.UMTERIJIND