2014, 02-10 Permit App: BLD-2014-0197 Plumbing FixturesSpokane
Valley‘
Community Development
Perm' Titer
11708 __.,prague Ave, Suite B -3
Spokane Valley, WA 99206
PHONE: (509) 720 -5240
FAX: (509) 688 -0037
Plumbing Permit Application ❑ Commercial Residential
SITE ADDRESS:
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F J 102014
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Building Owner -�
Name: kA.A2k,t4,lvt {{ t 1 _ Phone: 4 ' i2 ° ici 3 7 Fax: Teq - Tzc(-1.,g, G r"
Address: rpo _ 1„,..)„i4 i (tt t 0 City: 6 1'� /,g _ State: Zip: Iq 2 I el
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Contractors
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Name: Li,..� i.v� . Phone: ,cc/ _ 92-4 - /V 3 -7 Fax: .5-.6 ' '-zL
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Zip: ( /`IZK1
Address: , 6 (L(l 3C C ` v (LCiifi J4( State: (-L�'[
License No: { c2ks i ci •4. t, k City Bus ness Lic: —i- 1 26,--6, 4 B a�
Contact/Project Manager:
Name: "- Jr`ta,n e ta41 Phone: 5..04 - icic a Iv(
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
Z-
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav /Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -ray, Food,
Prep /Culinary Meat
DISHWASHER
CLOTHES WASHER
/
I
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
Ice and /or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
%
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
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
Signature
CURRENT FEES AVAILABLE AT: httrz:!!v u.s okanevalletr.orcd under the quick (inks for Forms, Master Fee Schedule.