2009, 09-18 Permit App: 09003006 Water PipingSpokane
eaValley-
,
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter( spokanevallev.ore
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercialifesidential
SITE ADDRESS:
915'D / £ gro c4-�
Building Owner {y/G(/�rP' .. G - los-tee/^>-
Name: �� �' � Phone: 2.37 _ v6 /7 Fax:
/
Address: 9s0/ g /3r0 '✓ S City { piae 44/‘ State Sg Y_4 Zip:fn C
.;Contractor Se / (�.__,
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lie:
.; Contact/Project Manager: 1
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
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
D / o L saws
Lek " e- Installation, Alterations, Reptt-evert
Lek
WATER USING DEVICE
Ire and/or Coffee maker, hose bib, steamer proofeonator, 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
❑CASH O. CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT. http.//www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://wwwspokaneval ley, org/uploads/Communily_Devel opmenVDocumentc/Fonns/Bui I d ing/PI u mbingPerm itApplication 040309. doc