2011, 07-05 Permit App: 11001980 Plumbing FixturesPermit Center
Sp®baQ7 "r 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER:
ne Spokane Valley, WA 99206
Va11e�7� (509)688-0036 FAX: (509)688-0037 ' PERMIT FEE:
germitcenter2spokanevalley.org f �
Community Development
Plumbing Permit Application / ❑ Commercial Residential
SITE ADDRESS: _N �F� 7 �L G
Building Owner
_
Name:N O� _C�
t Phone:5� 9� a�
Fax:
Address: L11 3 6 "LL "9
City:
State:11.1,1
Zip: of g�,6;2
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
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Prep/CulinaryMeat
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 a 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:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org under the quick links for Forms, Master Fee Schedule.
http://www. spokanevalley.org/uploads/Community_pevelopment/Documents/Forms/Building/Plumb ingPermitAppl ication04O309. doe