2015, 05-28 Permit App: BLD-2015-1230 Plumbing FixturesCommunity Development ! Project # ��Q IJr' -
,,� 11703
�� Center II R E C E I V E D
11703E Sprague Ave, Suite B3
jValley� Spokane Valley, WA 99206
dllPHONE: (509) 720-5240 MAY 18 2815
FAX: (5091688-0037
CSV PERMIT CEN1 EPERMFFFEE:
Plumbing Permit Application ❑ Commercial
0' Residential
SITE ADDRESS: •` vk l I--- REV. # L C
Building Owner V (�� Ni I
Name: J Phone: Far.
State: OR- Zip: qq0 t(�1
Address: L',/20e , MD tc City: `I�
l /
Contractor
/
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lia
Contact/Project Manager.
Name: Phone:
0 UNITS
PLUMBING FIXTURE ON A TRAP
( 1
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Ictchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATERSOFTNER -
FLOOR DRAIN
Area, Case Cal, 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
I/ Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease Interceptors functioning as falure 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
ignature
CURRENT FEES AVAILABLE AT: http:l(www.spokanevalley.orgl under the quick links for Forms, Master Fee Schedule.