2012, 05-31 Permit App BLD-2012-0784 Plumbing Permitw
Community Development
Plumbing Permit
SITE ADDRESS;
Mail or Fax To: 6b6L.0 NVZE:OI Z[OZ '[E'AVA awil PaAl;�aa
Nom's Excavating. Inc.
PO Bax 574
Penult Center Veradale, WA 99037 1340
11707 E Sprague Ave, Suite 106 Fax: 892-0432 PERMIT NUMBER:
Spokane Valley, WA 99206
(509)688-0036 FAX (509)688-0037 PERMIT FEE: „�' 32 . 00
Commercial
Building owner
DESCRIPTION OF WORK
NOF UNITS
Name: Marshall
Phone: 998-7703
Fax:
TOTAL AMOUNT
Address: SAME
City: Stale:
WATER CLOSET BIDETS
Zip:
Coutnetur
S8.00
6.00
Name: Norm's Ex=Vating, 111C
Phone: 509/928-0580
Fax:
509/892-0432
Address: PO Box 574
City: Veradale State: WA
Zip:
99037
License No: NORMSE1972BM
City Business License No:
Contact
$8.00
=
Name: Sheila Gibbons
Phone: 928-0580
BATH ST ONSITE BUILT
1
AUTHORIZED SIGNATURE: /
REVISED 8/2005
DESCRIPTION OF WORK
NOF UNITS
X
COST
TOTAL AMOUNT
7
TOILETS
WATER CLOSET BIDETS
1
X
S8.00
6.00
2
URINALS
X
$8.00
=
3
TUBS
X
$8.00
=
4
SHOWERS PER TRA
BATH ST ONSITE BUILT
1
X
56.00
=
6.00
5
SINKS
LAVS/BASINS, BAR, FLOOR KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD PREP/CULINARY MEAT
1
X
$6.00
=
6.00
6
DISHWASHER
X
$6.00
7
CLOTHES WASHER
X
$6.00
8
GARBAGE DISPOSAL
X
$6.00
=
9
WATER SOFTENER
X
$8.00
10
ELECTRIC HOT WATER TANK
NOTE IF GAS SEE MECHANICAL
X
$6.00
=
11
FLOOR DRAINS
ARM CASE, Coll. TRENCH CONDENSATE
X
$6.00
=
12
ROOF DRAINS/OVERFLOW
DRAINS
X
$6.00
=
13
FOUNTAINS DRINKING
X
$6.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT PLUMBING REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
1
X
$6.00
=
6.00
15
SEWAGE EJECTOR
GRINDER SUMP PUMP
X
$6.00
=
16
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER. CARBONATOR SWAMP COOLER
58.00
T$6
=
17
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS TANKS BOILERS
X
$6.00
=
18
INTERCEPTORS
GREASE TRAP, SANDTRAP,
CHEMICAL HOLDING TANK
X
$6.00
=
19
MEDICAL GAS (per outlet)
NITROUS OXYGEN
X
36.00
=
20
MISCELLANEOUS PLUMBING
FIXTURE
X
$6.00
=
21
PRIVATE SEWAGE DISPOSAL/SYS
X
$20.00
22
INDUSTRIAL WASTE
INTERCEPTOR
X
$15.00
=
METHOD OF PAYMENT:
❑ GASH [3 CHECK ®VISA ❑ MASTERCARD
CerAe cm c.,wr Shunt EXPIRES:
SUBTOTAL
24'00
PROCESSING FEE
8.00
TOTAL PERMIT FEE DUE:
32.00
AUTHORIZED SIGNATURE: /
REVISED 8/2005