2010, 02-17 Permit App: 10000422 Water PipingSpoka�Te
V lleyy
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenternspokanevalley.org
Community Development
Plumbing Permit Application
10 Ogra
X43
PERMIT NUMBER:
PERMIT FEE:
❑ Commercialesidential
SITE ADDRESS: _ 12OI q C /�>r-edtu t.€
Building Owner ' r .'aP }�, �';,
Name:. Fax:
�E Fira�s(
Address.�._o)ei & City. 5p State: Letniv Zip: 161vi6
Contractor .
Phone: as -/_27 rr 5o� Fax:
Name: 114:41,6 Ek1t1-1/I4i7 L1q
Address. IC
Igoe S bin �t J City: /7e1 State: cN/, Zip: 'to / U
License No: City Business Lic:
Contact/Project Manager:
Name: 01r'I E— OVA
II��--1L.
Phone:
# 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 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 piping, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmosphenc type vacuum breakers
MEDICAL GAS
INCEPTORS
[CASH 0 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.
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