2014, 06-16 Permit App: BLD-2014-1390 Water HeaterCommunity Development
01^re•ft Permit Center
Spokane 11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Project
RECEIVED
16JL 2014
CSV PERMIT
Plumbing Perm Application 0 Commercial Residential
SITE ADDRESS: 1212- iv Bocu Pr, a n
7iggiir FEE:
Building Owner
•
Name: 3j(' Phone: Fig) .... 7.3 6ci Fax:
Address: 1 alz ik.) ow nn C4 r—, & City: pog..e uct 1 ystate: tit )fr.
Zip: q q‘, 1.2.
Contractor 5 o KG r.) e 4 ( is —pi u,v, 13
Name: 3 Phone: ci51 —co ---7 Fax:
Address: 522 E City: s State: Zip: •
License No: Po K A FP ic 4 0-a1-2---- City Business Lie: yoc
Contact/Project Manager:
Name:
Phone:
se I
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
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
WATERSOFTNER •
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
. i ........-
Signature
CURRENT FEES AVAILABLE AT: http:/twww.sDokanevalfev.orclI under the quick links for Forms, Master Fee Schedule.