2015, 03-12 Permit App: BLD-2015-0477 Water HeaterCommunity Development
Permit Center
*lane 11703 E Sprague Ave, Suite B-3
valley. Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application 0 Commercial 1:2Residential
PERMIT FEB:
SITE ADDRESS: .28 I 0 74 -valor)
Building Owner
Name: ,. JOG (1 iv) o an 1..- - Phone: aq i_... 6 9 Fax:
Address:
• C, j I City: c a ate: 4 Zip:
•,-.D Ai Ci # Alf
&
Contractor Sp CI n C re l( ,(jn4 b c)
Name: iliKA I 4 -l9{- Phone: 9c7 6s-0-7 Fax:
Address: '22 o IQ -_- pro c.k_ City: n State: AM_
Zip:
4,2_4
License No: CA:3:A FP 3 z— City St.eLli: ye c
Contact/Project Manager:
Name: 16..6--- Phone:
# UNITS
PLUMBING FIXTURE ON A TRAP
• TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lay/Basins, Bar, Floor, IGtchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep!Culinary Meat
. DISHWASHER
CLOTHES WASHER
•
GARBAGE DISPOSAL
WATERSOFIN ER •
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
Incfuding 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
Otherthan atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
-
Signature
Project # t:))L-D - ()L17
CURRENT FEES AVAILABL AT: htto://www.sookanevallev.orof under he quick links for Forms, mastiiiEGESO E D
MAR 1 2 2015
CSV PERMIT CENTER
SUB #1 REV. #