2014, 06-03 Permit App: BLD-2014-1279 Plumbing Fixturesw Community Development
ev"\fit Permit Center
si kane 11703 E Sprague Ave, Suite B-3 eCt #TeLj^� ;011+ Spokanl
;�viValley` PHONE: (509) 720-5240ley, WA99206 ► RECEIVE
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial Residential
EN 0 3 2014
SITE ADDRESS:
CSV PERMIT CENTE
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Building Owner
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Name: U tkct - bkntl Phone:
Fax:
Address: vlict s Oc,4' c.n R. cl City: State: Zip:
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
)2.,,
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
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
i
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
1
l
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: http://www.spokanevallev.orgl under the quick links for Forms, Master Fee Schedule.