2014, 04-16 Permit App: BLD-2014-0797 PlumbingSpokane
Community 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 ❑ Commercial [46 Residential
SITE ADDRESS: /(o 5i3 E MUmZk
Project w3-3 .::)-61`1 -OW 7
RECEIVED
APR 16 2014
PERMIT FEE:
CSV CFNTER
SUB #
RFV #
Building Owner
Name: Psi v41 t _ Phone: 40c1 _ 123_ _ jfi s 7 Fax: 7)q - 1,4cti
-dl4, ( f
Address: - 1,e),1‘ Kt t 0 city: 8 tC V State: - Zip: 1,12 /41(
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Contractor
i 4 Phone: c Fax c,�d (�,6, C
Name: �l uin. • 5G t - %2- - /9(} s7 1 ' L -
Address:.�G� . i23 NI 3 G% City: �'{)G I4 ato L`eti( y State: GLA Zip: (/),'2/4,(
License No: ukttk i-i-1T- c'-4- t'b City Business Lic: —1- 1 z .,1-6, 4., c,..., 4 B t.(
Contact/Project Manager:
Name: G Phone: 5,01 _ ;fct o q-5-0,
##UNITS
1
`l
PLUMBING FIXTURE ON A TRAP
-& 3
TOILETS
URINALS
TUBS
Z.
SHOWERS (per trap)
3
SINKS
Lav /Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -ray, Food,
Prep /Culinary Meat
/
DISHWASHER
/
CLOTHES WASHER
/
GARBAGE DISPOSAL
WATER SOFTNER
Area, Case, Coil, Trench, Condensate
FLOOR DRAIN
ROOF DRAIN /OVERFLOW DRAINS
FOUNTAIN, DRINKING
WASTE
Installation, Alterations, Repair, Reversals
F
1
WATER PIPING /DRAIN -IN
Ice and /or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
/
WATER USING DEVICE
PRIVATE SEWAGE DISPOSAL SYSTEM
If Gas, See Mechanical
1
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
INCEPTORS
Water piping, drainage or vent piping
REPAIR OR ALTERATION
BREAKER
ATMOSPHERIC TYPE VACUUM
Other than atmospheric type vacuum breakers
BACK FLOW PROTECTIVE DEVICE
MEDICAL GAS
INCEPTORS
Signature
CURRENT FEES AVAILABLE AT: tp:l/www.spokanevailev.orcl under the quick links for Forms, Master Fee Schedule.