2012, 03-21 Permit App: BLD-2012-0204 Plumbing FixturesSilorime
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
pennitcenter a sookanevallev.org
Community Development
Plumbing Permit Application
SITE ADDRESS:
7vz l E Q6a/vE 5.00rAwc
PERMIT NUMBER: 6 (c - 2 - ZO
PERMIT FEE: / 9
❑ Commercial %Residential
150/6,
1
['CASH
Card#
SIGNATURE:
❑ CHECK K71 VISA ❑ MC
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://vrowi.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://wwwspokanevalley.org/up loads/Community_Development/Documents/Fors/Building/PlumbingPermitApplication040309. doc
Building Owner
Name: Sic �/n Phone: Fax:
Address: / 7 Liz. / E /Soave City: 5476jA/c State: /,.//4_ Zip:9,0/6)
Contractor
Name: 410p/C ACU/I/SiV(t Aav9 nnCC . Phone: 7/0_/35 7 Fax: ..
�/
Address: Sox' &cat" City: SI 1uE State: (il//-_ Zip: 5 Z/ 7
License No: City Business Lic:
Contact/Project Manager:
Name: 042%,//-7 7—/5OMZg Phone: 7/0 ...._/ 357
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILET'S
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
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
t1
3vitei`h1 Pict n Cprlrj
i
['CASH
Card#
SIGNATURE:
❑ CHECK K71 VISA ❑ MC
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://vrowi.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://wwwspokanevalley.org/up loads/Community_Development/Documents/Fors/Building/PlumbingPermitApplication040309. doc