1995, 10-20 Permit App: 95008702 Plumbing Fixtures q , i '7O i PLUMBING PERMIT APPLICATION
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PROJECT ADDRESS:
OWNER: PHONE:DAYTIME CONTACT
MAILING ADDRESS:
(street) (city/state) (zip)
CONTRACTOR: ,zax-1bel4. jr}( \SOn LICENSE og ,p q5 b 6 g I
PHONE: C( 2,r( Cj 0 ps fe7
MAILING ADDRESS: I 152.0 ' (off CI t^p-C_no re's VIA q Gt 0 j b
(street) (city/state) (zip)
PLUMBING FIXTURES #OF MULTI— COST
DESCRIPTION I DETAIL UNITS PLIED BY /UNIT ■QUAL, AMOUNT
.B432 TOILETS WATER CLOSETS BIDETS x $6 = $ L//
ird URINALS - x $6 = $
BOai TUBS BATH,JACUZZI,SPA,GARDEN x $6 = $
BO SHOWERS(per trap) BASE,STALL,ON—SITE BUILD x $6 = $ t.-
MO
/M.()6 SINKS LAVSBASINS,BAR,FLOOR KITCHEN, x $6 = $
MO
LAUNDRY,UTILITY,JANITOR PHOTO, ".„,/
X—RAY,FOOD(PREP/CULINARY/MEAT)
'WI DISHWASHER , - . . x• $6 = .$
B08 CLOTHES WASHER - x $6 = $
:B. 3 GARBAGE DISPOSAL/GRINDER - x $6 = $
13.0 WATER SOFTENER - x $6 = $
I1 ELECTRIC HOT WATER TANKS (NOTE: if gas water tank,see mechanical) • x $6 = $
B.12 FLOOR DRAINS AREA,CASE,COB.,TRENCH,CONDENSATE x $6 = $
BIS ROOF DRAINS/OVERFLOW DRAINS(ea.) - x $6 = $
Bio FOUNTAINS,DRINKING - x $6 = $
Dp WATER PIPING/DRAIN-WASTE-VENT/ INSTALLATION,ALTERATION,REPAIR, X $6 = $
ilill!PLUMBING REVERSALS REVERSALS
B1 SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $
10 WATER USING DEVICES ICE AND/OR COFFEE MAKER, x $6 = $
HOSE BIB,STEAMER PROOFER,
CARBONATOR,SWAMP COOLERS
BIBCROSS—CONNECTION DEVICES VACUUM BREAKER,CHECK VALVE, x $6 = $
E«:::::i:
AND R.P.B.P.D.FOR:VATS.SUMPS,
`''"'"`: TANKS.BOILERS,8 SPRINKLER SYSTEMS
B19 INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $
CHEMICAL HOLDING TANK
Ito 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 $
PL00
E MAKE HE0KS PAYABLE Ta
Spokane County Division of BuildingsSPOKANE`COUNTY PERMIT CENTER
1026 W.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.
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