2014, 03-13 Permit App: BLD-2014-0475 Plumbing FixturesSi°Manka e
�Milley
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial
e
idential
PERMIT FEE: 6 / . �Q
SITE ADDRESS: fit/ 2-.710%.
Building Owner
Name: Phone: Fax:
Address: City: State:
Zip:
Contractor
Name: r+ c t0/ niA Phone: 7 f ty r.775— Fax:
Address: ,»L/ ev„, �, f. C�Vlr City: S' State: Y
v f
Zip: c
--cey
License No: City Business Lie:
Contact/Project Manager:
Name: Phone:
# 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
WATERSOFTNER -
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 /1
Signature
5
ProsIect # 'bLp a�1`i - Olen
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq/ under the quick IiAks for Forms, Maatter Fee Schedule.
RECEIVED
MAR 13 2014
CSV PERMIT CENTER
SUB #I / I REV. #