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1995, 03-31 Permit App: 95001920 Sink
r • PLUMBING PERMIT APPLICATION a7 - /9'20 PROJECT ADDRESS: / ` / � rcTe:! :e OWNER: PHONE: MAILING ADDRESS: (street) (city/state) (zip) CONTRACTOR: jeVelf,, 1;)List„./.}-cl, LICENSE: PHONE: MAILING ADDRESS: (street) (city/state) (zip) PLUMBING FIXTURES #OF MULTI- COST DESCRIPTION I DETAIL UNITS PLIBDBY /UNIT RQUALs AMOUNT_ 1302 TOILETS WATER CLOSETS,BIDETS X $6 = $ B03 URINALS — x $6 = $ B04TUBS BATH,JACUZZI,SPA,GARDEN X $6 = $ B05 SHOWERS(per trap) BASE,STALL ON—SrrEBUILD X $6 = $ 1306 SINKS LAVSBASINS,BAR,FLOOR,KITCHEN, x $6 = $ LAUNDRY,UTILITY,JANITOR PHOTO, /12ge X—RAY,FOOD(PREP/CULINARY/MEAT) / 1307 DISHWASHER — x $6 = $ B08 CLOTHES WASHER — x $6 = $ B09 GARBAGE DISPOSAUGRINDER — x $6 = $ 1310 WATER SOFTENER — x $6 = $ 131:1 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank see mechanical) x $6 = $ B12 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE x $6 = $ 0.13.ROOF DRAINS/OVERFLOW DRAINS(ea.) — x $6 = $ B14 FOUNTAINS,DRINKING — x $6 = $ 1315 WATER PIPING/DRAIN—WASTE—VENT/ INSTALLATION,ALTERATION,REPAIR, x $6 = $ >is PLUMBING REVERSALS REVERSALS 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 B18 CROSS—CONNECTION DEVICES VACUUM BREAKER.CHECK VALVE, x $6 = $ AND R.P.B.P.D.FOR:VATS SUMPS, TANKS,BOILERS,&SPRINKLER SYSTEMS 13.1.9 INTERCEPTORS GREASE TRAP,SAND TRAP, X $6 = $ CHEMICAL HOLDING TANK B20 MEDICAL GAS(per outlet/bottle station) NITROUS.OXYGEN x $6 = $ J B21 MISCELLANEOUS FIXTURES x $6 = $ NOTE: MINIMUM PERMIT FEE IS$35.00 Subtotal /e) PLUS: PROCESSING FEE $25.00 SIGNATURE: /1) 1„.e.,A __/ , ./. TOTAL PERMIT FEE DUE $J5 PLEASE MAKE CHECKS.PAYABJ.E TQ Spokane County Division of Buildings SPOKANE COUNTY PERMIT CENTER; 1026 W.Broadway Avenue* Spokane,WA 99260 Tel.No.(509)456-3675 • Fax No.(509)456-4703*TDD No. (509)324-3166 WAfTRRVILMpAMHND