2013, 07-18 Permit App: BLD-2013-1414 Plumbing FixturesWkane
Community r slopment
Permit Cent6w
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
PERMIT FEE:
Plumbing Permit Application ❑ Commercial gResidential r -
SITE ADDRESS: 14103 Al. ar..../ /v Pd SP�lSA VQ ��
Building Owner a r L,L C.e.... Lot/4' ,~.-V..._
Name: Phone: Fax:
Address: City: State: Zip:
Contractor 7 j Sty;/T— / e5
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
NameColay IDAu Phone: 601 ci .— /64 V
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
/►]/
1
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
eio
DISHWASHER
1
CLOTHES WASHER
1
GARBAGE DISPOSAL
I
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
I
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
3
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
Signature
CURRENT FEES AVAILABLE AT: http://www.sookanevallev.orq/ under the quick links for Forms, Master Fee Schedule.