2011, 09-01 Permit App: 11002706 Plumbing FixturesSpokaneane -
q Walley.
4
Permit Center
11703 13 Sprague Ave, Suite 13-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
rermitcenterQs •okanevalle or•
Community Development
Plumbing Permit Application
PERMIT NUMBER: 1 _270G
PERMIT FEE:
n Commercial n Residential
srnE.rinnxEls: II RO9 E Reedit *yule. IJJA- 777dD
IBuildin'Orn j
Name' reir\ C tAmmMon( or Phone: I'50C! ' %89356 Fax:
Address:�r CfiC,K City: S�kAV1P State:
:ll/4
Zip: 996O
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Name: Phone: Fax:
Rtc��r, 5 ao4� �60-0,57y
Address "13x3/1 U ro 7c CitY:4i/ly_I SiU Stale: rci Zip • 3G -J
OC -1
_ o5 R lig 3 a3z. City Business Lic:
License No: P L de. )v J
Qrbntac j_ULMSnagcr:
_ I fl`5Ov, Phone: a�Os .-77"J h3o7/
Name: SC
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# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
i
URINALS
TUBS
(
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
:Q y� L(
40
DISHWASHER
/1
CLOTHES WASHER
I
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case Coil Trench Condensate
I
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installatio terations, Repair, Reversals .
�t q 3
WATER USING DEVICE
Ice and/or Coffee make d hose bib, learner proofer, carbonator, swamp cooler
a
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
„�S
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
GC�'�
MEDICAL GAS
INCEPTORS
❑CASH 0 CHECK 0 VISA 0 MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule
http.//wwwspokanevalley.org/uploads/Community_Development/Documents/Forms/Building/PlumbmgPermi W pp1ication040309,doe