2009, 05-21 Permit App: 09001447 Water Piping, ReversalSokane
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Permit Center
11703 E Sprague Ave, Suite 13-3
Spokane Valley, WA 99206
(509)688-0036 FAX. (509)688-0037
permitcenter(aApokanevallev org
Community Development
Plumbing Permit Application
Arip
PERMIT NUMBER:
PERMIT FEE:
n Commercial
csidcntial
SITE ADDRESS: 3 2 NI T` -
Building Owner
Name Mk MCN-h/le t Phone: Fax:
Address: 3.7 k N t lt� - r City: 5f, Owl o State: i Zip:
U�-�
Contractor - - - -- - - -
_-- - -
Fax:
Phoneyaz -I y/
Name: If�. faN P .M, Lir,
City
/cies Stale: Liver— Zip: WO/4
Addressis Iii7IIWcTTJ�(
License No: City Business Lic:
- -
Contact/Project Manager: _ -
`l-
Name \bat �U1LeAA-. �J( Phone: Z I i –73 VI
/
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
lav/Bases, 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
/
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
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
ASH ❑ CHECK ❑ VISA ❑ MC
(Card#
SIGNATURE:
y
EXPIRES'
VIN:
CURRENT FEES AVAILABLE AT: http://www spokanevalley orq/ under the quick links for Forms, Master Fee Schedule
http://www spokanevalley org/uploads/Community_Development/Documcnts/Forms/Building/PlumbingPermitApplication040309 doc