2010, 07-22 Permit App: 10002228 Sewer, ROW, Plumbing Fixtures*WaneMilley
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter%,spokanevalley.org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
Commercial Residential
SITE ADDRESS. 509 ru eL.A (Z.41,5
Building Owner
Name: Phone: Fax:
f2A&js
Address: City: State: Zip:
Contractor _ VA -4416
Name:
ilf/C I
Phone: 2, Fax:
City:-----
1—/ -it State: z..4.44._ Zip:
/6
Address: t, e
License No:
Sl L City Business Lic:
Contact/Projec Manager
Name: Phone:
# OF UNITS
PLUMBING FIXTIJRE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Fioor, 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
Instatation, 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
INCEPTORSIncluding
traps, vents except kitchen type grease interceptors functioning as fixture traps
Water piping, drainage or vent piping
Other than atmospheric type vacuum breakers
REPAIR OR ALTERATION
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
MEDICAL GAS
INCEPTORS
OCASH 0 CHECK El VISA DMC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/PlumbingPermitApplication040309.doc