2014, 05-13 Permit App: BLD-2014-1047 Plumbing FixturesPermit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688.0036 FAX (509)688-0037
org
Community Developmerd
Plumbing Permit Application
S1TE ADDRESS:
Building Owner
Adam -(i cef IL /1f�eVee
Say.,. 0.
Contractor
Name:
p
V JTN JNBER:
PER/viii FEE E I
VED
MAY 13
Commercial
2014 510—
'Residential
CSV PERMIT CENTER
Name: LArr /11 itic rFxc. i Enc
Address: -7,l7 E. F Mi-iar Ade.
LicanscNo: L!�RRy!hE �?tN7
Contact/ProoJect Manager:
Name:
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
INDUSTRIAL WASTE PRETREATMENT
INCEPTORS
REPAIR OR ALTERATION
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
MEDICAL GAS
INCEPTORS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Ut ity, Janitor: Photo, X-ray, Food,
Prep/Culinary Meat
4741'I l rt illation, Alterations, Repair, Reversals Sew C
lee and/or Coffee maker; hose Mb, steamer pr, cavbonator, swamp coop
CICASH ❑ CHECK 0 VISA 0 MC EXPIRES:
Card# VIN
SIGNATURE:
Water piping, drainage or vent plug
Other than atmospheriatype vacuum breakers
CURRENT FEES AVAILABLE AT: httpJ/www.spokanevapey.orq/ under the quick links for Forms, Master Fee Schedule.