2011, 10-12 Permit App: 11003232 Water PipingPermit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenwr^n.snokanevallcv org
Community Devclopmen:
Plumbing Permit Application
PERMIT NUMBER: 1 1 — Ts
PERMIT FEE:
❑ Commercial
Residential
SITE ADDRESS: 7, /2 2C . (Ca r7 t e_
Building Owner
,/
Name: /IA/A Alt rro»-. Phone: 918 -34-4-C Fax:
Address:- Tai / F Ca N /7, e City: 32a o J/4 y State: WA Zip: 9,7_2(,,,z.
Contractor J
° Pilo":We1" �Kcsvw�`"7 946 -/Zoo Fax:
Naive: /‘--.aV`*We
/�
Address: —7 / (/ F X wilier Ciry: Stale: Zip:
Ave -i'[
License No: City Business Lie:
Contact/Project Manager:
,/
Name: L41 -r' y4{ i/( e_r Phone: / 7 _ 3337-
1* 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 DRAIWOVERFLOW DRAINS
e
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals Sag/eV
. 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
❑CASH 0 CHECK 0 VISA 0 MC
Card#
SIGNATURE
EXPIRES:
VIN
PkCommunity Dcvelopment\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg,doc