2014, 06-11 Permit App: BLD-2014-1342 Plumbing Fixturesspoliane
Community Development
Permit Center
11703 E Sprague Ave, Suite
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
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RECEIVED
JUN 1 1 2014
Plumbing Perm' Application 0 Commercial esidenlial
rCrIfV1IT CENTER
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PERMIT FEE:
SITE ADDRESS: 7C
Building
—
Building Owner (A. Q.
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Name:
Phone: ?.5 ) . 9 3G ) Fax:
Address: vl _. 343n Ge_ f , (3 .6 YrI/IcA rc 5 State: t Am- Zip: q c 2-i
Contractor y
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Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
1
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
2 -
DISHWASHER
I
CLOTHES WASHER
t
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
4
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 —
Signature
CURRENT FEES AVAILABLE AT: http://vvww.spokanevallev.orq/ under the quick links for Forms, Master Fee Schedule.