1996, 01-02 Permit App: 96000009 Plumbing Fixtures X
PLUMBING PERMIT APPLICATION I s 7
PROJECT ADDRESS:
OWNER:g��� /// 110,12 ..il t- PHONE:DAYTIME CONTACT >�S'-( S(,(:)
MAILING ADDRESS: f. //,/-2 6 Z71 ii, (17C w q q qr)
(street) (city/state) (zip)
CONTRACTOR:rt. )>27/ir7 0.,)_(2. -ka LICENSE:
PHONE:
MAILING ADDRESS:
(street) (city/state) (zip)
PLUMBING 1.1XIUKES II OF MULTI- COSI
DESCRIPTION I DETAIL UNITS Lan a /UNIT EQUALS AMOUNT
B0.::TOILETS WATER CLOSETS,BIDETS 4 x $6 = $
B€) URINALS - x $6 = $
TUBS BATH,JACUZZI,SPA,GARDEN x $6 = $
gq SHOWERS(per trap) BASE,STALL,ON-SITE BUILD x $6 = $
go SINKS IAVS/BASINS,BAR,FLOOR,KITCHEN, x $6 = $
LAUNDRY,UTILITY,JANITOR,PHOTO,
`E'•EJ X-RAY,FOOD(PREP/CULINARY/MEAT) il
ito DISHWASHER - x $6 = $
CLOTHES WASHER - x $6 = $
iik GARBAGE DISPOSAL/GRINDER - x $6 = $
II WATER SOFTENER - x $6 = $
Bti ELECTRIC HOT WATER TANKS (NOTE if SSS water tank,see mechanical) I x $6 = $
Bi`#FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE x $6 = $
I>'ROOF DRAINS/OVERFLOW DRAIN - x $6 = $
;au FOUNTAINS,DRINKING - x $6 = $
RI<v WATER PIPING/DRAIN-WASTE-VE INSTALLATION,ALTERATION,REPAIR, x $6 = $
.:nnlininn PLUMBING REVERSALS REVERSALS
B!<SEWAGE EJECTORS GRINDER,SUMP PUMP x $6 = $
SI WATER USING DEVICES ICE AND/OR COFThb MAKER x $6 = $
HOSE BIB,STEAMER,PROOFER,
gii CARBONATOR,SWAMP COOLERS
IAI< CROSS-CONNECTION DEVICES VACUUM BREAKER CHECK VALVE, x $6 = $
AND LP.B.P.D.FOR:VATS,SUMPS,
TANKS.BOILERS,&SPRINKLER SYSTEMS
B!` INTERCEPTORS GREASE TRAP,SAND TRAP, x $6 = $
CHEMICAL HOLDING TANK
El=MEDICAL GAS(per outlet/bottle stati NITROUS,OXYGEN x $6 = $
Si MISCELLANEOUS FIXTURES x $6 = $
NOTE: MINIMUM PERMIT FEE IS $35.00 Subtotal
PLUS: PROCESSING FE $25.UU
SIGNATURE: TOTAL PERMIT FEE DU$inniPniiiiiiiiiiiiiiiMinininligingniinnigiiii . /�
...
iiiiRiiiiiiiiiininiiiinniniiiiiiinniiii
.....................................
Spokane County Department of Building&Planning
Ic ne
WA 99260
o e•Spokane,w
Aenu
1026
W Broadway
Y
Po
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.
7/11193 koastsephimperst.hoil