2010, 07-21 Permit App: 10002202 Plumbing Fixtures*Mane
..0,001/2!ley
Permit Center
11703 E Sprague Ave, Suite 13-3
Spokane Valley, WA 99206
(509)688-0036 FAX (509)688-0037
perniteemter(spoknnevalle os
C,
Community Development
Plumbing Permit Application
SITE ADDRESS: pith:, e NiEAk La 5' SL1e ea., Lc*
PERMIT NUMBER:
PERMIT FEE:
U Commercial Int Residential
Building Owner 1 oz.
Name: y 1- 12 rhone: Fax:
Address: t l6. 4) rrai-,yi,r\ city- $I^r.Ittyc stat: c_... A 71"-T2e —
Contractor
ame_ phone Fair:
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Address: 9.0°4._t�Fal fTh City:
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u•AVseL_ State: Lop. Zip: teach
License No: City Bu
ass Lic:
Contact/Project Manager:
Name INAA..n-t - NuAPhone: 5-cf_t_4b7-{673
OF UNITS
PLUMBING FIXTURE ON A TRAP
:l
TOILETS
URINALS
TUBS
1
/�
.J
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, FloorKitchen, Laundry. Utility, Janitor, Photo, X-ray, Food
Prep/Culinary Meat
I
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
Area, Case. Coil. Trench, Condensate
J
FLOOR DRAIN
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Re.air, Reversals
Ice and/or Coffee maker, hose bib, steamer proofer, carbonatoq swamp cooler
WATER USING DEVICE
PRIVATE SEWAGE DISPOSAL SYSTEM
If Gas, See Mechanical
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
REPAIR OR ALTERATION
Includintraps, vents except kitchen type grease interceptors functioning as fixture traps
Water piping, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
NCEPTORS
OCASH ❑ CHECK El VISA El MC
Card*
SIGNATURE'.
EXPIRES:
VIN
CURRENT FEES AVAILABLE AT: htlp//wwwspokanevalleyorq/ under the quick links for Forms, Master Fee Schedule.
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