2011, 05-02 Permit App: 11001138 Plumbing FixturesSpokane
�Miney.
Permit Center
11703 E Sprague Ave, Suite 13-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokanevalley org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
n Commercial
Residential
SITE ADDRESS: t2a-o(.0 47 %a✓G. 2 -
Building Owner
Name: Les K.»t .Phone: co 7 -SS 87 Fax:
AddressState: Zi
„Ip:
n�• Dery 1Zd , City ,ra Lu ¢_ Uwlls-.P L04. p
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
1 7
URINALS
TUBS
SHOWERS (per trap)
(
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
01.
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
I
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
Installation, Alterations, Repair, Reversals
WATER PIPING/DRAIN-IN WASTE
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 atmosphenc type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH D CHECK D VISA DMC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley org/uploads/Community_ Dcvelopment/Documents/Forms/Budding/PlumbmgPermitApplicatlon040309.doe