1995, 11-30 Permit App: 95009906 Plumbing Reversal PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: PHONE:DAYTIME CONTACT
MAILING ADDRESS:
(street) (city/state) (zip)
CONTRACTOR: bej-4, . f-,\.\115 on LiCENSEt 02, ,,_\ )cp to S A I
PHONE: CI ZrI - CI J PS 4a
MAILINGADDRESS: I i520 �' ( 4h GIP rz_n(.Grzs WA g61016
(street) (city/state) (zip)
PLUMBING FIXTURES #OF MULTI— COST
DESCRIPTION I DETAIL UNITS PLUM BY /UNIT suuss.s AMOUNT
TOILETS I WATER CLOSETS BIDETS x j $6 = $
B03 URINALS — x $6 = $
B04 TUBS BATH.JACUZZI,SPA,GARDEN x $6 = $
80$SHOWERS(per trap) BASE,STALL,ON—SITE BUILD x $6 = $
;moi SINKS IAvs/BASINS BAR,FLOOR,KITCHEN, x $6 = $
LAUNDRY,many.JANITOR,PHOTO.
X—RAY,FOOD(PREP/CULINARY/MEAT) •
O P DISHWASHER - x• '$6 = •$ . .
808 CLOTHES WASHER - x $6 = $
009 GARBAGE DISPOSAUGRINDER - x $6 = $
$10 WATER SOFTENER - •. . x $6 = $
B1I ELECTRIC HOT WATER TANKS (NOTE:if gas water tank see mechanical) . x $6 = $
BIZ FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE x $6 = $
$23 ROOF DRAINS/OVERFLOW DRAINS(ea.) - x $6 = $
B14 FOUNTAINS,DRINKING - x --$6 = $
813 WATER PIPING/DRAIN-WASTE-VENT/ LNsFALATIoN,ALTERATION.REPAIR, x $6 = $ /
.: ai:,PLUMBING REVERSALS REVERSALS �/
`B16 SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $
B17 WATER USING DEVICES ICE AND/OE COFFEE MAKER. x $6 = $
HOSE BIB,STEAMER PROOFER.
CARBONATOR,SWAMP COOLERS
n a CROSS—CONNEI. 10I4 DEVI= vA."•.....ML-m r.......,... CICVA
AND RP.B.PD.FOR VATS.SUMPS,
TANKS,BOILERS,&SPRINKLER SYSTEMS
.-
V9 INTERCEPTORS GREASE TRAP.SAND TRAP. x $6 = $
CHEMICAL HOLDING TANK
;820 MEDICAL GAS(per outletbottle station) NLTROUS.OXYGEN x $6 = $
B21 MISCELLANEOUS FIXTURES x $6 = $
NOTE: MINIMUMPERMIT FEE IS$35.00 Subtotal
PLUS: PROCESSING FEE $25.00
SIGNATURE: TOTAL PERMIT FEE DUE $ j s
0.L :SE MAKE trHgCKS.PA Atittt l
Spokane County Division of Buildings SPOKANE CQUNTY 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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