2014, 03-11 Permit App: BLD-2014-0464 Plumbing Fixtures•
Spokane
Valley.
Comity Development
Pe nter
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application 0 Commercial ta Residential
PERMIT FEE:
SITE ADDRESS: "] D (7 Y 11/4% adgef. o v
Building Owner
Name. /112Xz., IC Liropalk: r Phone: 6as_yz5-1143 Fax:
Address: $ i� -4 0 - eC 1 0 in City: 00 --)p o k [s N e State: W A Zip: g S 21 6
Contractor 0 LO v1 es -
-Name.
Name. Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# UNITS
PLUMBING FIXTURE ON A TRAP
• TOILETS
3
URINALS
TUBS
2
SHOWERS (per trap)
1
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
/
�"�
DISHWASHER
I'
CLOTHES WASHER
1
GARBAGE DISPOSAL
I
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
,,gg
q. 0
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
Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links fo?FormsyMastettEee.Schedule.
! RECEIVED
MAR 1 1 2014
I
CSV PERMIT CENTER
SUB #E REV. #