2010, 04-12 Permit App: 10000985 Water Heater`Spokane
congDalley=
Permit Center
11703E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter 2i spokanevalley.ore
Community Development
Plumbing Permit Application
aC2 S averg ee"
SITE ADDRESS:
n
PERMIT NUMBER: (V v l
PERMIT FEE:
n Commercial XResidential
Building Owner - - -
Name: G cores- Ga I I ;-S Phone- 9 — (/ 70 Fax
4lIo
Address: o� 2- e , i-
J t V e r j re r, v-\ City: `l ep•c4 n e Hey, State: �A Zip 99-ec
Contractor [
Name. S'Fit hrIcA II; S-'1• Pr Phone. 95/ —Gs° I Far
Address: Ci N uon el-, city: C.-.6kGn�' Smte: �� Zip: C9,V40
c'h
License No- C �6 KA p p �1 '2 3 � City BusinesstLie' rel`
-. / V
Contact/Project Manager:
Name- `-CC •o W / _- — /, 1 r 11;0 rnS Phone. (� _96 70
# 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, Cod, 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 atmosphenc type vacuum breakers
MEDICAL GAS
INCEPTORS
DCASH ❑ CHECK 0 VISA 0 MC EXPIRES.
Card# VIN
SIGNATURE:
CURRENT FEES AVAILABLE AT http //www spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule
http //www spokanevalley.org/uploads/Community_Development/Documents/Forms/Building/PlumbingPenmtApplication040309 doc