2010, 05-04 Permit App: 10001260 Water PipingSpokane
40,0151/alley.
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokanevallev.org
Community Development
Plumbing Permit Application
PERMIT NUMBER: I lf'" V \ )
PERMIT FEE:
❑ CommercialResidential
SITE ADDRESS: a7// S, GH-£.Cvc
Go cj.o 7
Building Owner
•Name: Kyle Rowe - Phone:509-979-1308 Fax:
Address: 271 I S. Cheryl Court City: Spokane Valley State: WA Zip: 99037
Contractor
Name: Same as above - Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# 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
WATERSOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
2
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
DCASH D CHECK D VISA D MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org/ under the quick links for Forms, Master Fee Schedule.
http://wwwspokanevalley. org/uploads/Community_Development/Documen W FormsBuilding/PlumbingPermitAppl ication040309. doe