2015, 05-06 Permit App: BLD-2015-1041 Piping(.
Community Development
Is"\ Permit Center
SP:Wane e 1 11703 E Sprague Ave, Suite 63
r d� V T ll.___ SpokaneON:Valley, WA 99206
® �^dljey PHONE: (509) 720-5240
FAX: (5091688-0037
Project #-D-30(5- /b�J
RECEIVED
Plumbing Permit Application ❑ Commercial) Residential
SITE ADDRESS: / % a j S ,I -cis)
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PERMIT FEE:
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Building Owner
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Address: /i%)S I>n ST he lAid0 C�- . VQt t.1 State: L'4- Zip: 93,O/b
Contractor
Name: De 0,, N3i.S1,‘ Phone: 20g_5j2 —`/ Fax:
Address: City: State: Zip:
License No: City Business tic:
Contact/Project Manager.
Name: Phone:
R UNITS
PLUMBING FIXTURE ON ATRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lev/Basins, Bar, Floor, Kitchen, Laundry, UMW, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATERSOFTNER ,
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alteratons Repair, Reversals
I
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
Signature
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CURRENT FEES AVAILABLE AT: htto://www.spokanevallev.orq/ under the quick links for Forms, Master Fee Schedule.