2012, 11-28 BLD-RES-TRADE Plumbing;Valley.
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokanevalley.org
Community Development
• Plumbing Permit Application
SITE ADDRESS: �� (o S
L u u J. INV viDG1s: C7(q -(c- -f (G
PERMIT FEE: 5 O
n Commercial
Residential
Building Owner �-- F, q
„.„4,7_,ge
Name: G(/
Address:
Contractor
Name:
Address:
License No:
z� n
COair r' 7 M 6-
e. At /1? G Phone:
b7 o k-) v City:
C- -
' Com- (tgc7 ( City Business Lic:
Phone: soci, 92,1_ c(9,, Fax:
City: �� State: 69- Zip: l .?-e
Contact/Project Manager:
Fax:
State: �S,)
Name: Phone:
PLUMBING FIXTURE ON A TRAP
TOILETS
# OF UNITS
URINALS
TUBS
SHOWERS (per trap)
SINKS
DISHWASHER
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
ROOF DRAIN/OVERFLOW DRAINS
Area, Case, Coil, Trench, Condensate
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE installation, Alterations, Repair, Reversals
WATER USING DEVICE i Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS Including traps, vents except kitchen type grease interceptors functioning as fixture traps
If Gas, See Mechanical
REPAIR OR ALTERATION Water piping, drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
MEDICAL GAS
Other than atmospheric type vacuum breakers
INCEPTORS
❑CASH '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.
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/PlumbingPermitApplication040309.doc