2011, 09-06 Permit App: 11002733 Water Heater*lane
c:orttW ley
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX (509)688-0037
pennitcenter(dspokanevalley or¢
Community Development
Plumbing Permit Application
442&2
SITE ADDRESS: 2007 S Ea//y Pawn Pr
3063
PERMIT NUMBER: 11-z 1 3 3
WS
PERMIT FEE:
Commercial
Residential
Building Owner
Name nil; ¢ch Fba-4' 389- 6:261Phone: Fax.
��
Address: ;007 S. Ea* Dau -.r'' rr . City: sPO/e.QI7i age/ State:am_ Zip: 99037
Contractor
Name. sat l /
Al•'Sf-rd Sp�onc falls f`�''dwlb;a
Phone: 937 49o7 Fax:
ttOO /
o/N
Address:
City: State Zip: p
S%,2o/N &/Mn/ 2aXON c &� /9E2_
�cf
License No: SQOF/A fPQar02 TZ— City Bus ess Lic: yes
1-`J ar J
Contact/ProjectiManaggller:
Name ink& Phone: i6_ 023 7
# 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 Meat
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 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
DCASH 0 CHECK 0 VISA 0 MC EXPIRES
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: httpl/www.spokanevallevorq/ under the quick links for Fonds, Master Fee Schedule
http //www.spokanevalley.org/uploads/Community_ Development/Documents/Fonds/Building/PlumbingPermitApplication040309 doe