2015, 03-23 Permit App: BLD-2015-0614 Plumbing FixturesSpmkan' ems`
asesQTa➢ley
Community Development
Permit Center
11703 E Sprague Ave, Suite 8-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application 0 Commercialesidential
SITE ADDRESS: `l ( (A -disc ic_
PERMIT FEE:
Signature
CURRENT FEES AVAILABLE AT: http:l/www.spokanevaltev.orof under the quick links for
o us a2CtFa Sc edule.
1 a61S-1 F lam{
RECEIVED go
MAR 2 3 2015
CSV PERMIT CENTER
SUB #
1 1 1
REV. #! 1
Building Owner
Name: Phone: Fax:
Address: City: State: Zip:
Contractdr
Name: ,7 J (/r/ 4,, Phone: / ,/Fax:
< �// �%�17
City: State: ZiP:
Address: nyy7
�lllj 4 L��it
/SO •-•4/4_49-
`�-/�
City License No: ` City Business Lb:
11.*
i
Contact/Project Manager:
Name: Phone:
# UNITS
FIXTURE ON A TRAP
PLUMBING
• TOILETS
URINALS
- _
TUBS
SHOWERS trap)
J
(per
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
DRAINS
ROOF DRAIN/OVERFLOW
DRINKING
FOUNTAIN,
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
SEWAGE DISPOSAL SYSTEM
PRIVATE
If Gas, See Mechanical
WATER HEATER
INDUSTRIALWASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
OR ALTERATION
Water piping, drainage or vent piping
REPAIR
TYPE VACUUM BREAKER
ATMOSPHERIC
BACK FLOW PROTECTIVE DEVICE
Other than atmospherictype vacuum breakers
GAS
MEDICAL / -
/J
INCEPTORS -V-C/7-----)
Signature
CURRENT FEES AVAILABLE AT: http:l/www.spokanevaltev.orof under the quick links for
o us a2CtFa Sc edule.
1 a61S-1 F lam{
RECEIVED go
MAR 2 3 2015
CSV PERMIT CENTER
SUB #
1 1 1
REV. #! 1