2012, 06-20 Permit App: BLD-2012-0938 Plumbing FixturesSpokane
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Community Development
Plumbing Permit Application
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permiteenter@snokanevalley.org
PERMIT NUMBER: &P. aZ . Rag
PERMIT FEE: it $r.00
n Commercial 1 Residential
SITE ADDRESS:
/0/S S MAW_ P9
Building Owner ✓£NNIS dotsct)
Name:
Address:
Contractor
Phone: 939_37y0 Fax:
/&.1- S /1/%/)iY%f/L. City: .9,0KAA» lJ'1 ie -TY
State:
W4
Zip: 992de
Name: MC E iii/Z 62/stj Li C
Phone:
Fax:
Address: 95'/0 e SpR'4/'nD 24)
License No: McS£A)FL932/4D
Contact/Project Manager:
ARUia c5LATfI
City: Stbn 4- May>, State: /A
City Business Lie: 600.7/8.96.a
Zip: 7.2C,
Name:
Phone:
DCASH ❑ CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http //vawv.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://wwwspokanevalley.org/uploads/Community_Development/Documents/Fonns/Bu dding/PlumbingPennitAppl ication040309, doe
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
i
URINALS
TUBS
SHOWERS (per trap)
I
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
N
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 atmosphenc type vacuum breakers
MEDICAL GAS
INCEPTORS
DCASH ❑ CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http //vawv.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://wwwspokanevalley.org/uploads/Community_Development/Documents/Fonns/Bu dding/PlumbingPennitAppl ication040309, doe