2012, 03-05 Permit App: BLD-2012-0095 Plumbing FixturesPermit Center
SoOd11e 11703 E Sprague Ave, Suite B -3 PERMIT NUMBER:
�''l�"" Spokane Valley, WA 99206 /Z —
,�,� Valley° (509)688 -0036 FAX: (509)688 -0037 PERMIT FEE:
permitcenterkspokanevalley org ell
Community Development
Plumbing Permit
SITE ADDRESS: J 3
Commercial
Residential
L]CASH ❑ CHECK ❑ VISA ❑ MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http: / /www.spokanevalley.or -q under the quick links for Forms, Master Fee Schedule.
http : / /www.spokanevalley.orgluploads /Community DevelopmentIDocumentsI Forms / Building/ PlumbingPermitApplication040309 .doc
N Fax:
State: Zi tor Lys P
Name: Phone: Fax:
Address: City: - State: Zip: l
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap
SINKS
Lav /Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -ray, Food,
Pre /Culina Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN /OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING /DRAIN -IN WASTE
Installation, Alterations, Repair, Reversals
WATER USING DEVICE
PRIVATE SEWAGE DISPOSAL SYSTEM
Ice and /or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
If Gas, See Mechanical
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water piping, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
L]CASH ❑ CHECK ❑ VISA ❑ MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http: / /www.spokanevalley.or -q under the quick links for Forms, Master Fee Schedule.
http : / /www.spokanevalley.orgluploads /Community DevelopmentIDocumentsI Forms / Building/ PlumbingPermitApplication040309 .doc