2015, 04-03 Permit App: BLD-2015-0740 Plumbing Fixtures• Community Development
'T� Permit Center
Spokane 11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
��valley$ PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial LI Residential
PERMIT FEE:
SITE ADDRESS:
Building Owner!/ (; v`/ S! - v r�iL
Name: t, ti /./ / , it/cr.--,:..s-i,d !-i, Phone: - f - / < V 0,SI/'
, J`l / �-S z- t ��' �f L��` �f � 7 L Fax: �
Address: / / .3 (.1(✓ (/3e,c,,./✓L City:. / i ic'.4n/iz i/."4,4, <'Mate: d 4. Zip: C >:2 e ,c,
Contractor
Name: 06.),i,"4,-.. — sr 6' Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: ii/z}/ « Phone: j':,17%'1 ��
# UNITS
PLUMBING FIXTURE ON A TRAP
(c
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
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
,tea
INCEPTORS ' j — ',
Signature
Project # 'i`1�--(5--‘{v
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.ora/ under the quick lin s for Foms, Master tee bcneaule.
RECEIVED
APR 0 3 2015
CSV PERMIT CENTER
SUB# ( J REV. =>: