2013, 03-12 Permit App: BLD-2013-0411 Plumbing Fixturesarra kan.
.valley.
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial laResidential
ADDRESS: Soo g , �1‘1( y ��' 4kAt "'
SITE
PERMIT FEE: 5, t9G
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Building Owner
Name: Phone: Fax:
Address: City: State: Zip:
Contractor e%C 0 ( 4 , OK_.
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Name: `� Phone:g— 3 (o0 Fax:
`45.1‘1 rut, City: State: Zip:
Address: / 50--7
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License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# UNITS
ON A TRAP
PLUMBING FIXTURE
TOILETS
URINALS
TUBS
trap)
SHOWERS (per
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
SINKS
DISHWASHER
CLOTHES WASHER
DISPOSAL
GARBAGE
SOFTNER
WATER
DRAIN
Area, Case, Coil, Trench, Condensate
FLOOR
DRAIN/OVERFLOW DRAINS
ROOF
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
WATER
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 , 4
ii
Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orsa/ under the quick links for Forms, Master Fee Schedule.