HomeMy WebLinkAbout2013, 03-07 Permit App: BLD-2013-0363 Plumbing FixturesSpokane
jValley
Plumbing Permit Application
Community Development
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
PHONE: (509) 720 -5240
FAX: (509) 688-0037
C,�- ZDl� -o36
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PERMIT NUMBER:
PERMIT FEE: if 4-a 00
❑ Commercial ,-El: Residential
SITE ADDRESS: f 6-303 A L1< /
Building Owner
Phone eiG y - E f Z S Fax:
Name: i 'R.l P
Address: / 303 i t �l`f / City: S! prieQ/1/4,e, yl /EcState: ,,(..) Zip: ,q10/6
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS L
URINALS
TUBS
SHOWERS trap)
(per
/
SINKS ✓
Lav /Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -ray, Food,
Prep /Culinary Meat
DISHWASHER ,%
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN /OVERFLOW DRAINS
FOUNTAIN, DRINKING
t-- WATER PIPING /DRAIN -IN WASTE
Installation, Alterations, Repair, Reversals
4' USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
WATER
SEWAGE DISPOSAL SYSTEM
PRIVATE
HEATER
If Gas, See Mechanical
WATER
INDUSTRIAL WASTE PRETREATEMENT
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
INCEPTORS
ALTERATION
Water piping, drainage or vent piping
REPAIR OR
TYPE VACUUM BREAKER
ATMOSPHERIC
PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
BACK FLOW
MEDICAL GAS
INCEPTORS N.
Signature
CURRENT FEES AVAILABLE AT: http: / /www.spokanevalley.orgl under the quick links for Forms, Master Fee Schedule.
http: / /www spokanevalley. orgJfilestorage / 124/93 8/210/948/ 1496 /2743/Plumb_App. doc