2013, 11-12 Permit App: BLD-2013-2335 Plumbing Fixturesp `kane
. Malley.
Commt ,, Development
Permit Center
11703 E Sprague Ave, Suite B -3
Spokane Valley, WA 99206
PHONE: (509) 720 -5240
FAX: (509) 688 -0037
Plumbing Permit Application El Commercial 1 Residential
SITE ADDRESS: ,I�ad�tG� / i'e-
Prot Jj7 RECEIVED
NOV 12
PERMIT FEE:
ENTCn
CSV P
..-_
Building Owner >
> / C "'' -
Address: �a20 %R�Pb LQ /A'_ City: 1 ;heft v z KK State: i.dA- Zip: 994%9,
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Nc and ftky Phone: swo9 — 8 79 - 3335
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS 3
3
URINALS
TUBS a
a
SHOWERS (per trap) /
/
SINKS P
Lav /Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -ray, Food,
DISHWASHER
CLOTHES WASHER
/
GARBAGE DISPOSAL
/
WATER SOFTNER
FLOOR DRAIN A
Area, Case, Coil, Trench, Condensate %
%
ROOF DRAIN /OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING /DRAIN -IN WASTE I
Installation, Alterations, Repair, Reversals
WATER USING DEVICE I
Ice and /or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER I
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS I
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION W
Water piping, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE O
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS G
Signature Z J
CURRENT FEES AVAILABLE AT: http: / /www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.