2013, 04-30 Permit App: BLD-2013-0770 Plumbing Fixtures�cicQke
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Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
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Plumbing Permit Application ❑ Commercial E34esidential L PERMIT FEE:
SITE ADDRESS: /J. d1r, S ciILane \_jaI�T kAjA ClC,QQ �.
Building Owner
Name:' �r
Phone: 5C9G,_ G _ 6 Fax:
Address: N
City: o K V . State: vj A
Zip: CM1I
Contractor
Name:
Phone: Fax:
Address:
City: State:
Zip:
License No:
City Business Lic:
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 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
PRNATE 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
I Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
Signature
.�A 0 -
CURRENT
CURRENT FEES AVAILABLE AT: htta://www.sPokanevallev.org/ under the quick links for Forms, Master Fee Schedule.