2010, 10-13 Permit App: 10003355 Plumbing_ Permit Center
S""®"' e� 11703 E Sprague Ave, Suite B-3 �`S PERMIT NUMBER:
PERMIT
Spokane Valley, WA 99206 J
Valley,(509)688-0036 FAX: (509)688-0037 lJ/ PERMIT FEE:
G permitcenter@spokanevalley.org l
Community Development
Plumbing Permit Application ❑ Commercial Residential
SrrEADDRESS: 34,Q3 N, C<n'tyc
Building Owner
Name:
Phone: ?Q 4 . 7& 4 Fax:
Address: �� 3 �� ��«
City: S d State:
Zip:
Contractor'
Name: i Y, �tr� ' C „ x
F•
Phone: G1.1 4, ' J �► a Fax:
7 A.; "_c.--,Oj O
Address: -7J)'7 .1E w +ts c
City: :5 State:
w Zip:
License No: i— A y 1) 90 R
City Business f ic:
Contact/Project Manager.
.y
Name: �. r. ,. 1 C r
Phone: a (n ' if C O P
1 9-. 33 3 6..
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
SINKS Prep/CulinaryPrep/Culinary Meat
p
DISHWASHER Tk e6r" i �'{
r`� r� ^ Rcry c irsA,. I foc r
N 1,4
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 ❑ CHECK ❑ VISA ❑ MC EXPIRES:
Card# VIN:
l`9lei ./Grto] C0111
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.orgluploads/CommunityDevelopment/Documents/Forms/Building/PlumbingPermitApplicationO4O3O9.doc