2013, 02-22 Permit App: BLD-2013-0280 Drain ConnectionPermit Center
Silokane 11703 E Sprague Ave, Suite B-3
:leo,. Valle)/ Spokane Valley, WA 99206
(509)688-0036 FAX (509)688-0037
Community Development permitcenteraasookanevallev.ora
Plumbing Permit Application ❑ Commercial [4. Residential
SO -I 3- zee
PERMIT NUMBER:
PERMIT FEE: (, G y
SITE ADDRESS:
f /3�/-�b, Rd/
Building Owner /� ,?tg P✓iG Crp
Name: AOC -et -G ,n% C62/jeP
Address: .r.y y ,nc &iC
Contractor' �✓
Phone: ye V7-4 7// Fax:
City: 5-0.�.4oso 4444, State: 4424.--A Zip: p9,0,/,
94,
Name:
Phone:
Fax:
Address:
City:
State:
Zip:
License No:
City Business Lie:
Contact/Project Manager:
Name:
Phone:
METHOD OF PAYMENT:
EICASH ElCHECK,'VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
FEB 2 2 7013
CSV PERMIT CENTER
#
nuc �1 RE\I�/. ._�
CURRENT FEES AVAILABLE AT: http://vnvw.spokanevalley.org//uploads/Operattotrsend_Adns' a (F' ante/MasterFeeSche le.pdf
H:\DRAFT APPS\APPROVEI
This document contains confidential credit card information
and has been redacted pursuant to RCW 42.56.230(5).
You may petition for a review of our findings pertaining to any
redacted or withheld documents pursuant to Spokane Valley
Municipal Code (SVMC) 2.75.080; and obtain judicial review
pursuant to RCW 42.56.550.
# OF UNITS
TOILETS
WATER CLOSET, BIDETS
URINALS
TUBS
SHOWERS (PER TRAP)
BATH, STALL ON-SITE BUILT
SINKS
LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR,
PHOTO,
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTENER
FLOOR DRAINS
AREA CASE COIL, TRENCH, CONDENSATE
ROOF DRAINS/OVERFLOW DRAINS
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
NOTE: IF GAS, SEE MECHANICAL PERMIT APPLICATION
INDUSTRIAL WASTE INTERCEPTOR
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,REVERSALS
WATER USING DEVICE
ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER,
PROOFER, CARBONATOR, SWAMP COOLER
CROSS CONNECTION DEVICE
VACUUM BREAKER, CHECK VALVE,AND BACKFLOW. FOR: VATS, TANKS,
BOILERS
MEDICAL GAS (per outlet)
NITROUS, OXYGEN
INTERCEPTORS
GREASE TRAP, SAND TRAP,CHEMICAL HOLDING TANK
MISCELLANEOUS PLUMBING FIXTURE
FOUNTAINS, DRINKING
_....—_—_--
AM/ ICI II , ()t,; V\ Cornec'ti'a",
Project #
h
RECEIVE[
I
METHOD OF PAYMENT:
EICASH ElCHECK,'VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
FEB 2 2 7013
CSV PERMIT CENTER
#
nuc �1 RE\I�/. ._�
CURRENT FEES AVAILABLE AT: http://vnvw.spokanevalley.org//uploads/Operattotrsend_Adns' a (F' ante/MasterFeeSche le.pdf
H:\DRAFT APPS\APPROVEI
This document contains confidential credit card information
and has been redacted pursuant to RCW 42.56.230(5).
You may petition for a review of our findings pertaining to any
redacted or withheld documents pursuant to Spokane Valley
Municipal Code (SVMC) 2.75.080; and obtain judicial review
pursuant to RCW 42.56.550.