2002, 03-08 Permit App 02001459 Sewage EjectorProject Number: 02001459 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
......................................................
Permit Use: SEWAGE EJECTOR
Setbacks: Front
Left: Right:
Rear:
Site Information:
Plat Key: 001288 Name: HUTCHINSON'S ADD
Date: 3/8/2002 Page 1 of 2
............................................................................................
Contact: TEEPLES, AUDI
Address: 8523 E BROADWAY AVE
C - S - Z: SPOKANE, WA 99212
Phone: (509) 927-8277
Group Name:
Project Name:
District: F
Parcel Number: 45181.1525 Block:
SiteAddress: 8605 E BROADWAY AVE
SPOKANE, WA 99212
Location:: SPO
Zoning: UR 3.5
Water District:
Lot:
Owner: Name: TEEPLES, AUDI
Address: 8523 E BROADWAY AVE
SPOKANE, WA 99212
Hold: ❑
Area: 0 Sy Ft Width: 62 Depth: 311 Right Of Way (ft): 40
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review
,
Special Review Hf'Cl � G [Released By"
Contractor: OWNER
Item Description
SEWAGE EJECTOR
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Plumbing Permit
Firm: OWNER
Phone:
Units
1
1
Unit Desc
NUMBER OF
Y OR BLANK
Select
Permit Total Fees:
Fee Amount
$6.00
$25.00
$4.00
$35.00
Operator: DMD
Printed Bv: DMD Print Date:
3/8/2002
Project Number: 02001459 Inv: I
Notes:
Application Date: 3/8/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary::;.:........
Permit Type
Plumbing Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$35.00 $35.00 $0.00 $35.00
$35.00 $35.00
$0.00 $35.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signatu re:
Operator: DMD Printed By: DMD
Print Date: 3/8/2002
PLUMWNG PERMIT APPLICATION
-
PROJECT
ADDRESS:
OWNER:
PERMIT
USE:
PHONE (Daytime Contact):
MAILING ADDRESS:
(Street)
(City/State)
(Zip)
CONTRACTOR:
LICENSE:
MAILING ADDRESS:
PHONE:
(Street)
(City/State)
(Zip)
PLUMBING FIXTURES
DESCRIPTION
DETAIL
# OF
UNITS
MULTI-
PLIED
BY
COST/
UNIT
EQUALS
AMOUNT
TOILETS
WATER CLOSETS, BIDETS
x
$6
1-13
URINALS
x
$6
TUBS
x
$6
I05°
SHOWERS (per trap)
BATH, STALL, ON -SITE BUILD
x
$6
SINKS
LAVS/BASINS, BAR, FLOOR,
KITCHEN, LAUNDRY, UTILITY,
JANITOR, PHOTO, X-RAY, FOOD
(PREP/CULINARY/MEAT
x
$6
DISHWASHER
x
$6
>B011=s
B09
B12:.
!B13i;;
B14'r
B15.
B16:
CLOTHES WASHER
GARBAGE DISPOSAL/GRINDER
WATER SOFTENER
x
x
x
$6
$6
$6
ELECTRIC HOT WATER TANKS
(NOTE: if gas water tank see
mechanical)
x
$6
FLOOR DRAINS
AREA, CASE, COIL, TRENCH,
CONDENSATE
x
$6
ROOF DRAINS/OVERFLOW DRAINS
(ea.)
x
$6
FOUNTAINS, DRINKING
WATER PIPING/DRAIN-IN WASTE-
VENT/PLUMBING REVERSALS
INSTALLATION, ALTERATION,
REPAIR, REVERSALS
x
x
$6
$6
SEWAGE EJECTORS
WATER USING DEVICES
GRINDER, SUMP PUMP
ICE AND/OR COFFEE MAKER,
HOSE BIB, STEAMER, PROOFER,
CARBONATOR, SWAMP COOLERS
x
x
$6
$6
CROSS CONNECTION DEVICES
VACUUM BREAKER, CHECK
VALVE, AND R.P.B.P.D. FOR :
VATS, SUMPS, TANKS, BOILERS, &
SPRINKLER SYSTEMS
$6
B19;
B20.
B21,
INTERCEPTORS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
x
$6
MEDICAL GAS (per outlet/bottle station)
MISCELLANEOUS FIXTURES
NITROUS, OXYGEN
x
$6
$6
METHOD OF PAYMENT
❑ CASH ❑ CHECK ❑ . ❑ - ❑
FAXED PERMITS WILL ONLY BE ACCEPTED WITH PAYMENT
OF A MAJOR CREDIT CARD
DATE:
EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
PLUS PROCESSING FEE
$ 25.00
TOTAL PERMIT FEE DUE
MINIMUMPERMTlFEEIS 83500'`
PLEASE MAKE CHECKS PAYABLETO.,..'
SPOKANE COUNTY PERIvTIT GENT ER .'
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue * Spokane, WA 99260-0050
Telephone No. (509) 477-3675 * Fax No. 477-7198 TDD No. (509) 477-7133