2009, 08-13 Permit App: 09002513 PipingPermit Center
Salaam
- 11703 E Sprague Ave, Suite B-3
r..7j1 21Q`117 Spokane Valley, WA 99206
a 420010 Valley (509)688-0036 FAX: (509)688-0037
perm itce nter@s pokan eval l ey. or¢
Community Development
Plumbing PermitApplication
SITE ADDRESS: it)3.6
0 1/ 6 (1_4.7:47/0/7-7 L ?e/o�b�
PERMIT NUMBER: �� S--/
PERMIT FEE:
Commercial
y3-
Residential
Building Owner Q'
Name r»/�Y%i% 1 �j)T /ILY / -
Address17 : I f' " terc/z
:Contractor..=
Address: 1 Tpq
License No. J
Phone:
City:
�Fax:
UK /y/////_//,,may State /e 4 ZiP „f /
City B .iness Lic:
Coatact/Project Manager:
/rl eYa ma):**d
Name
Phone: 211
# 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
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
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 ❑ VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT. http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
hop://www. spokaneval ley. org/uploads/Common ily_DevelopmenUDocumcnts/Forms/13 u i I ding/Pl umbingPenn itAppl icati on040309. d oc