2009, 12-02 Permit App: 09003827 Plumbing FixturesSpokane
fey.
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter(a,spokanevalley.org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial
esidential
SITE ADDRESS:
goo
E (3,k -sere Jesse
Building Owner
Name: Phone: Fax:
a Af ,f (SdA ciz4—'723
Address: cr(�i 5 E (3U(l_eyr v -e- City: ccmka (hi 4., State: Vit Zip: Q�7(
/ J [
Contractor e
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
Z
URINALS
TUBS
I
SHOWERS (per trap)
I
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
1
CLOTHES WASHER
1
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
I
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
_.,
WATER PIPING/DRAIN-IN WASTE
_ _
C.11 Installation, Alterations, Repair, Reversals
q
WATER USING DEVICE
Ice and/or Coffee maker, hose"'Btb steamerproofer,--carbor atts 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
['CASH 0 CHECK ❑ VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
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/Bu dding/PlumbingPermitAppl ication040309. doc