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1994, 04-28 Permit App: 94003701 Plumbing Reversal PLUMBING PERMIT APPLICATION , PROJECT ADDRESS: / 6 f 0 �, /6 --71-4 OWNER: .�oeAP A /!-, PHONE: 9 7/ ^ 9(c, o MAILING ADDRESS: /19/11/ – id , �., ) 'N (street) (city/state) (zip) CONTRACTOR: —o_ V—L/ –� �� – --41F LICENSE: PHONE: 9,,2 2- C. 2,6 0 MAILING ADDRESS: / 3 87� , Aq��j (street) (city/state) (zip) PLUMBING FIXTURES #OF MULTI- COST DESCRIPTION I DETAIL UNITS PLIED BY /UNIT EQUALS AMOUNT 1302 TOILETS WATER CLOSETS,BIDETS X $6 = $ ti B01 URINALS - x $6 = $ 1.0.4 TUBS BATH,JACUZZI,SPA,GARDEN X $6 = $ B05 SHOWERS(per trap) BASE,STALL,ON—SITE BUILD X $6 = $ 1306 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, X $6 = $ LAUNDRY,UTILITY,JANITOR,PHOTO, X—RAY,FOOD(PREP/CULINARY/MEAD B07 DISHWASHER - x $6 = $ $Q$CLOTHES WASHER — x $6 = $ BOO GARBAGE DISPOSAL/GRINDER — x $6 = $ 1310 WATER SOFTENER - x $6 = $ Mt ELECTRIC HOT WATER TANKS (NOTE: if bas water tank,see mechanical) x $6, $ B12 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE x $6 = $ 1:1:3 ROOF DRAINS/OVERFLOW DRAINS(ea.) — x $6 = $ 1414 FOUNTAINS,DRINKING - x $6 = $ B1S WATER PIPING/DRAIN—WASTE—VENT INSTALLATION,ALTERATION OR REPAIR X $6 = $ 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 B1$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 020 MEDICAL GAS(per outlet/bottle station) NITROUS,OXYGEN x $6 = $ B21 MISCELLANEOUS FIXTURES j\QC)X. J x $6 = $ Subtotal NOTE: MINIMUM PERMIT FEE IS $35.00 PLUS: PROCESSING FEE $25.00 ` TOTAL PERMIT FEE DUE $35 SIGNATURE: <9, (75,1,-1,..c_r2,,r , -) ' SPOKANE COUNTY DIVISION OF BUILDINGS WEST 1026 BROADWAY AVENUE•SPOKANE,WA 99260•(509)456-3675 \TASTER\P W MPtR NU IN D