2014, 01-07 Permit App: BLD-2014-0018 Plumbing FixturesSpo°`kan0.0"\
essValley
Plumbing Permit Application
SITE ADDRESS: )320f�5 C. JL yes Wf��c+ �7 o e.
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
PERMIT NUMBER:
PERMIT FEE:
12W- �1 LE —0o
❑ Commercial
IP
Residential
Building Owner 9y froi1 Po 1. -r1 -I- Prej®e%. t .Q5 , L SSSas a
Name: .�� G{MJ I' ICT 2 cr i Phone: G/}� ax: �8-777-72O j–
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3.. State: � n 2ipg, 7
Address. baa goo( 2 3, e Cityp 0 -DJ
Contractor
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Name:
I v e 7 r- Phone. CH.. W7 !`%7 x. 7Q2 _7 / / _7/G,��-t7
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Address: p.Val"7c.Jp % 3 S0 J City:T C��, }�'�i Stater• Zipg $
License No: City Business Lic:
Contact/Project Manager:
Name:MI u- / 1 e+ rGe r Phone: CO Ip1 r7709
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#UNITS__
PLUMBING FIXTURE ON A TRAP
oCCE,
; ti C f
TOILETS
URINALS
1 1 A 11 ly
7 'nna.
TUBS
SHOWERS tiler trap)
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SINKS
Lav/Basins, Bar, Floor, Ictchen, Laundry, Utility, Janitor, Photo, X-ray, Food," "'
Prep/Culinary Meat I
1
DISHWASHER
1 SUB #I 1
REV. #!, I
CLOTHES WASHER
,
GARBAGE DISPOSAL
# WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
E- WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
4" 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:llwww.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
httpJ/www.spokaoevalley.org/filestorage/124/938210/948/14962743/Plmnb App.doc