2013, 08-16 Permit App: BLD-2013-1650 Plumbing Fixtureses
Spokane
40,015Ua11ey.
Communit Development
Permit r
11703 E , gue Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial Residential
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PERMIT FEE:
SITE ADDRESS: 12808 E Blossey Ave Spokane Valley
Building Owner: Gibson, MelissalRobertson, Justin -
-
Name: Justin Robertson Phone'509-863-4063 Fax'
Address' 12808 E Blossey Ave City: Spokane Valley State: WA
Zip. 99216
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
7
/
URINALS
TUBS
V
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,'
Prep/Culinary Meat
DISHWASHER
X
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
11 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
Signature
Proiect b'ZD13 - 1(95-0
s,
CURRENT FEES AVAILABLE AT: http:l/www.spokanevalley.orq/ under the quick links for FormMaster Fee Schedule.
RECEIVED
AUG 16 2013
CSV PERMIT CENTER
SUB # I RE'/.»I