2011, 08-04 Permit App: 11002330 Black Flow DevicePermit Center
S'i(1`�le 11703 E Sprague Ave, Suite B-3
Y nt Spokane Valley, WA 99206
�Ualley. (509)688-0036 FAX: (509)688-0037
perm itcenter(aispokanevalley.ore
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Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
Commercial
y3 -
Residential
SITE ADDRESS:
�\C N Ma.c.NAh-.r.
Building Owner
Name:
FreclPhone: Fax:
nY�/af��,�
Address: Illy Iv Kcc IA '1 Y },IK —r City: Cke ., N�`,�`��._ State: Zip:
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Contractor
Name: //��
AJ6t'ts l \OnaS T.rc\fc Phone. 'l0` -ZSog Far
Address: sl CityState. Zip:aQQ�
I14 7 y � >f3., r�tr � M�� � � \
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License No:,Jo NESS9 i1S City Business Lic
Contact/Project Manager:
Name: Re 1� 5 Phone. �7
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` J Cr
tt OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
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
I
MEDICAL GAS
INCEPTORS
DCASH D CHECK D VISA 0 MC
Card#
SIGNATURE:
EXPIRES
VIN
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/Fonns/Building/PlumbingPermltApplication040309 doe