2015, 01-29 Permit App: BLD-2015-0163 Plumbing Fixturesr
Spokane
Malley
Community Development
Permit Center
11703 E Sprague Ave, Suite 8-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial Q Residential
Project #
RECEIVED
JAN 2 9 2'2.5
PERMIT FEE:
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SITE ADDRESS: q
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Building Owner
Name: ¥ork./_-Q____ Phone. Fax
Address' - City State:
Zip:
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(( &[ct,v-t A!111
ContraAddress:
Name:ctor,»7otSittrAi'g
Name: - J Phone: Fax:
City: State:
Zip
License No: - City Business Lic:
Contact/Project Manager:
Name Phone:
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
-
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URINALS
TUBS -
y
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
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DISHWASHER
2.
CLOTHES WASHER
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GARBAGE DISPOSAL
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WATER SOFTNER
FLOOR DRAIN
Area, Case Coil Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
a
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
4.
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 /'\
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/ /
Signature
CURRENT FEES AVAILABLE AT: http.//www.spokanevallev.oro/ under the quick links for Forms, Master Fee Schedule.