2013, 07-31 Permit App: BLD-2013-1510 Drain Connection5:rry()Qke
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Community Development
PermieCenter
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
066_Za/3_`15�10
PERMIT FEE: A tl3 A6
Plumbing Permit Application ❑ Commercial ❑ Residential
SITE ADDRESS: ' / ZI b 16- t l/IM p l ' fite— 544 V ; �1d l e `,/ !!Y ZU '
Building Owner
Name: J . Lj G? t LL F_
Phone: SDS _ Z _ f1i Z Fax:
Address: i (40 r
City: State: Zip:
Contractor
Name: S
Address:
Phone: Fax:
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
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 oioina. drains a or vent lipill
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
Signature„
CUR T F S AVAILABLE AT: htto•//www.sookanevalley.orci under the quick links for Forms, Master Fee Schedule.