2014, 10-10 Permit App: BLD-2014-2481 Plumbing FixturesSr Aim*
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial IN Residential
SITE ADDRESS: 1 cl B v <Aj /IKE,
Project # — DL( ' 21/ g 4,
RECEIVED .
CSV
OCT 10 2C t
FPVINTMENTER
SUB # F1171 REV. #
Building Owner
Name: j iudEA AMAtS Phone: 941_ctZ3_6607 Fax:
Address: 246'1 g_w. �jlacty- PL. s , i -e A !/o City: pcii,,,l State: t7K Zip: 9775
Contractor
Name: Melt L piurr,b'im , Phone: $_ 611 _ 6273 Fax:
Address: f' , fox 1,1/45/ City: i_kt ,61iteri jState: Zo, Zip: per -
License No: 60 %122 City Business Lic:
Contact/Project Manager:
Name: 1` i0 (Ail Lerr,Oury Phone: .101— 6 c i_ 6Z 73
J
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
Z.
URINALS
TUBS
f
SHOWERS (per trap)
1
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
LI
DISHWASHER
CLOTHES WASHER
1
GARBAGE DISPOSAL
1
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
1
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
1
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.spokanevallev.orq/ under the quick links for Forms, Master Fee Schedule.