2011, 09-26 Permit App: 11003019 DrainCommunity Development
Plumbine Permit
SITE ADDRESS:
Penna Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX:(509)688.0037
pernulcentevii6spokancvallev.ore
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PERMIT NUMBER:
PERMIT FEE:
Commercial [A Residential
Building On net
Name: k
Phonc: 3 S� �' Fax
Address: 1 3 h
�L P City: `a a State:
Zip
Contractor
Name: f CI^
Ckl(u rn Phonc. oZ),;—�d00 Fax.
Address ek K '„
G City. h f State.
Zip: �/�
License No:
City B -302 -nes- Lic:
Contact/Project \lanager:
Name a 1, r y 1,<e' e r
Phone: -L 8- 3 3
# 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 Prep/CulinaryMeat
'
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area Case Cal, Trench, Condensate
ROOF DRAINOVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING1DRAIN-IN WASTE
q
Installation, Alterations, Re au, Revemals
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, s%vamp coder
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS Indudn tra a, vents except kitchen type grease Interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water piping,drains eor vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric ta vacuum breakers
MEDICAL GAS
INCEPTORS
EICASH ❑ CHECK ❑ VISA ❑ MC EXPIRES'
Card# VIN
SIGNATURE
PACommumty Dcvelopment\02 Adminlstmtion\03 Forms - Official VerslonsWermit Center\Plumbing Permit Application 04-03-09 dgAw