2015, 04-17 Permit App: BLD-2015-0848 Plumbing FixturesCommunity Development
Permit Center
11703 E Sprague Ave, Suite B-3
�lf[llle Spokane Valley, WA 99206
4,0001% PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial Errtesidential
PERMIT FEE:
SITE ADDRESS: 95-011 %/ PYA t
Building Owner
.
Name: RobedRobed5co,'�{ Phone: 50x7 R /3.. v/eax:
Address: .71:2 I� i i A/A 5/?O/, City: 697--C-iii- State: w. Zi p: c�1ljvi
/ /1
Contractor 7
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# UNITS
PLUMBING FIXTURE ON A TRAP
Cr
TOILETS
Z
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
WATERSOFTNER
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
INCEPTORS
Signature
CURRENT FEES AVAILABLE AT: http:/twww.spokanevallev.orgl under the quick link for Forms, Master Fee Schedule.
Project #3LD-ably—OBI JR
RECEIVED 120
APR 17 2015
CSV PERMIT CENTER
( REV. =
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