HomeMy WebLinkAbout2013, 05-08 Permit App: BLD-2013-0829 DrainPermit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Permitcenter@SPokanevallev.org
Community Development
Plumbing Permit Application�/
SITE ADDRESS: .2 0`- b
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PERMIT NUMBER
PERMIT FEE: . Z 3. rip
❑ Commercial glesidential
Building Owner/11o Jr LC p
Name: 4 e op e r' Phone: ?pre, a i'b Fax:
Address: $a "...-e. City: City. 5, • VA /4 r State: �� Zip:�� /�
Contractor
Name: /Jar r�j F i 11 ( C r ExcA tki �i 1'�g Phone: 9 alp ,, ac Fax: (7 )MA' 15010
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Address: 7/I 1 E Ril i -i -e A City: 5.00. VL State: WA Zip: / A 1R
License No: City Busi Lic:
Contact/Project Manager.
Name: 1- Ani l is r Phone: a, 8. 3335
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# OF 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
WATER SORTER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
C
J QTrice Aalh, Installation, Alterations, Repair, Reversals 3 t lige 1'
WATER USING DEVICE
and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanic'
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fodwe 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 0 VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevaliey.om/ under the quick links for Forms, Master Fee Schedule.