1995, 11-22 Permit App Plumbing Fixturesf.v� Lf h�-9�oy
PLUMBING PERMIT APPLICATION
PROJECT ADDRESS:
OWNER: J mac% ��Ij�// /eta PIIONE: DAYTIME CONTACT
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MAHJNG AnnRESS!
1
CONTRACTOR: (/G'� c j-��, ��/ LICENSE:
PHONE:
MAILINGADDRESS:
street (city/state)zip
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DESCRIPTION
DETAIL
UNITS
MMT 4
LSD ■
/UNIT
.w .s
AMOUNT
Bf)
TOILETS
WATER CLOSETS, BIDETS
x
x
$6
=
$
t;
URINALS
x
x
$6
=
$
80
TUBS
BATH, JACUZZI. SPA, GARDEN
x
x
$6
=
$
$€)
SHOWERS r trap)
BASE, STALL, ON-SITE BUILD
x
x
$6
=
$
B(1:
SINKS
LAVSBASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
IX -RAY, FOOD (PREP/CULINARY/MEAT)
x
x
$6
=
$
PV,::
LJ13nWFlar1r-K
x
ab
1
3
CLOTHES WASHER
x
$6
=
$
GARBAGE DISPOSAL/GRINDER
x
$6
=
$
WATER SOFTENER
x
$6
=
$
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank, see mechanical)
x
$6
=
$
f3:I`
FLOOR DRAINS
AREA, CASE, COIL. TRENCH, CONDENSATE
x
$6
=
$
SI':
ROOF DRAINS/OVERFLOW DRAIN
x
$6
=
$
I
FOUNTAINS DRINKING
x
$6
=
$
$1
WATER PIPING/DRAIN-WASTE-VE
PLUMBING REVERSALS
INSTALLATION, ALTERATION, REPAIR,
REVERSALS
x
$6
=
$
SEWAGE EJECTORS
GRINDER, SUMP PUMP
x
$6
=
$
WATER USING DEVICES
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
x
$6
=
$
$
CROSS -CONNECTION DEVICES
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, SUMPS,
TANKS, BOILERS, & SPRINKLER SYSTEMS
x
$6
=
$
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
=
$
B '
MEDICAL GAS r outlet/bottle stati
NITRous, OXYGEN
x
$6
=
$
B'
MISCELLANEOUS FIXTURES
x 1
$6 1
1$
NOTE: MINIMUM PERMIT FEE IS $35.00
SIGNATURE:
Subtotal
PLUS: PROCESSING FE
TOTAL PERMIT FEE DU
$
Spokane County Department of Building & Planning S RA T NTY' I`Y.,
1
026 W Broadway Avenue Spokane, WA 9 2
Y
9 60
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/&93 \--\p1—p. h.d