2014, 09-17 Permit App: BLD-2014-2234 Plumbing FixturesSIMlan' e��
4,000Valley.
Community Developmenl project /2o Iq p-
PermitCenter
11703 E Sprague Ave, Suite B-3
RECEIVED
Spokane Valley, WA 99206
PHONE: (509) 720-5240 SEP 1 7 2014
FAX: (509) 688-0037
CSV PERMIT CENTER
Plumbing Permit Application 0 Commercial /�Residential
SITE ADDRESS: I (?I'® • \ !1( t 7Q 1 U tiY yJ REV.
`V # I—
PERNIIT FEE:
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Building Owner �/4• `Li LA
/I J n Fax:
Name: � cc or „-. /� c 4 ((C Phone: 75/a 2 3
Address: /4; e /3 F- City: Snc l:e....-- State: Zip:
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Contractor 6o% j K.ec L
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Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: CP4 r4 --'4 Phone: `SGS y5" (-- G 255
# UNITS
A TRAP
PLUMBING FIXTURE ON
TOILETS
URINALS
/
TUBS
trap)
'
SHOWERS (per
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
r
SINKS
.
/i
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER -
Area Case Coil Trench, Condensate
FLOOR DRAIN
DRAINS
ROOF DRAIN/OVERFLOW
FOUNTAIN, DRINKING
Installation Alterations Repair Reversals
WATER PIPING/DRAIN-IN WASTE
Ice and/or Coffee maker hose bib steamer proofer, carbonator, swamp cooler
WATER USING DEVICE
DISPOSAL SYSTEM
PRIVATE SEWAGE
If Gas, See Mechanical
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
INCEPTORS
Water piping drainape or vent piping
REPAIR OR ALTERATION
VACUUM BREAKER
ATMOSPHERIC TYPE
DEVICE
Other than atmospheric type vacuum breakers
BACK FLOW PROTECTIVE
MEDICAL GAS
INCEPTORS !
Signature
CURRENT FEES.A AILABLE AT: http:/lwww.sookanevallev.orq/ under the quick links for Forms, Master Fee Schedule.