2014, 08-01 Permit App: BLD-2014-1848 Plumbing FixturesSpokane
cossO Valley'
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcentert<spokancvalley ore
Community Development
Plumbing Permit Application
S ['FE ADDRESS:
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PERMIT NUMBER:
PERMIT FEE:
n Commercial ❑ Residential
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OCASH D CHECK D VISA DMC
Card#
SIGNATURE:
EXPIRES:
VIN: .
CURRENT FEES AVAILABLE AT http'//www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
htte://wwwspokaneval ley.org/uploads/Community_Development/Documents/Forms/Bu ilding/PlumbingPermi tApp l ication040309.doc
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Name: Phon.: f�tj,J
Address: City: n State: Zip:
Contractor AUG 0 1 2014 r
Name: Phon
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Address: City:jII�
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License No: City tsu
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Cootact/Project Manager: - I`I
Name: Phone:
#OF UNITS
PLUMBING FIXTURE ON A TRAP
aN
TOILETS
3
URINALS
TUBS
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SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
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CLOTHES WASHER
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GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
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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 '
OCASH D CHECK D VISA DMC
Card#
SIGNATURE:
EXPIRES:
VIN: .
CURRENT FEES AVAILABLE AT http'//www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
htte://wwwspokaneval ley.org/uploads/Community_Development/Documents/Forms/Bu ilding/PlumbingPermi tApp l ication040309.doc