2009, 08-21 Permit App: 09002649 Plumbing Fixtures40,00 Valky
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
pg-rnilcentci (i spokancvallcv.ors
Plumbing Permit Application n Commercial
SITE ADDRESS: /1 U) £ Kli o
PERMIT NUMBER: 7,,E31 ` 1
PERMIT FEE: c 7 ---
5T] Residential
Building Owner
Name: 1 �AC ( tS12_, (c-(fcJ
Address: 6 . it s/ /
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Contractor c Ec14 fes/ t
Name: c--\ CAL A(-6
Phone: v6 ,_69(_3006 Fax:
City: State: i)%A _ Zip: 9 93i/
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Address: 4.0 • KX 307L/
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Contact/Project Manager:
License No:
Phone: 7_ �t l 7� � Fax: SZ?
Zip:
Ci
ty
State:
City Business Lic:
Name:
Phone:
(]CASH 0 CHECK 0 VISA KI MC
Card#
SIGNATURE: /
EXPIRES:
VIN:
/1`
CURRENT
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org//uploads/Operations_and_Administration/Finance/MasterFeeSchedule.pdf
P:\Community Development\Building Division \PCF\DRAFT APPS\DRAFT plumbing APP.doc
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
1
TUBS
If
SHOWERS (per trap)
!
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,Ill
Prep/Culinary Meat
�[
DISHWASHER
CLOTHES WASHER
I
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 atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
(]CASH 0 CHECK 0 VISA KI MC
Card#
SIGNATURE: /
EXPIRES:
VIN:
/1`
CURRENT
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org//uploads/Operations_and_Administration/Finance/MasterFeeSchedule.pdf
P:\Community Development\Building Division \PCF\DRAFT APPS\DRAFT plumbing APP.doc