2009, 08-04 Permit App: 09002395 Water PipingSfjokane
• _Valley•
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
mr_nitcenter@spokanevalley.sag
Community Development
Plumbing Permit Application
SITE ADDRESS: 7/ V/4(./. /....?C-1/"72.1
PERMIT NUMBER:
PERMIT FEE:
n Commercial Di
Residential
Building Owner
Name: '''rcif").1 per_ ... Phone: Fax:
Address: c„.. 7 /g 4/ la/r),,i 5, City: Sienokis PI , 4'/Itlitly State: kiA Zip:
Contractor
Name: (t.")Lirr, /14AL >1 A--. Phone: 9,...? ,. s. 4,2 Fax:
Address: /9e34,.? c City. 6.77.‘..r, Statettlitt
License No: City Busin c:
Contact/Project Manager:
Name: ..—o_ Phesnt: C () 9)
# 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 SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, 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
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
Wateri in , drairpp11itpiping
Other than atmospheric type vacuum breakers
REPAIR OR ALTERATION
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
MEDICAL GAS
INCEPTORS
LICAsH 0 CHECK EJVISA DMC EXPIRES:
Card#
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forrns, Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/PlumbingPermitAPPlication040309.doc