2010, 01-28 Permit App: 10000220 Plumbing FixturesSpokane e�```
I*Valleyx
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permiteenter@spokanevalley.org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
Commercial Residential
SITE ADDRESS: / L 132. L - �j��'� �✓�
Building Owner
Name: n 4 ') Phone: Fax:
b �` ,�
Address: City: State: Zip:
Contractor
Name: Phone: Fax:
Address: /% City: Vzv CI r<sGl z74 A; State: /1v1i Zip 7 ye,.? -7
License No: City Business Lic:
Contact/Projeectt Manager: J
Name:
J e" r p M ✓i Phone: Z i69 (; *-f-c.....
6
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
I
SHOWERS (per trap)
1
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
al
DISHWASHER
I
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
I
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
I
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
I
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
I
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
DCASH ❑ CHECK ❑ VISA ❑ MC
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/PlumbingPerm itAppl ication040309. doc