2012, 06-25 Permit App: BLD-2012-0964 Plumbing Fixtures.Valley.
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenteri@spokanevallev.org
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
0 Commercial Residential
SITE ADDRESS:
S// 5 ,%lGl'Y c u S
Building Owner
/ L
Name: y4( % h Fr 7'-2. /041 `(r / c k Phono: Cj 9t� Fax:
Address: / g , f d/ r L (� S City: Ss y, C 14 4 State: v./4. Zip:
Contractor
Name: ice by Phone: �� �',,. Fax: ¶2 .,. co / 0
�krr ' Al;�. ( e 1^ �.YC�:
L ff/� /CyC� pct
Address: '7 / / E ��k' e. l^ A 1/@ city: .s/.e�/t (/u- 7(, y, State: wri Zip: ?roe oe (: z
License No: City Business Lic:
Contact/Project Manager: --
-Name: la r r a / rlr / //el„ Phone: £2/ f- 3735-
/
# OF UNITS
PLUMBING FIXTURE ON A TRAP
.6 --
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
e
FOUNTAIN, DRINKING
7>' WATER PIPING/DRAIN-IN WASTE
Q r�f1 yy /�
Q �4 Prue- • Installation, Alterations, Repair, Reversals e wet- lo,L„
WATER USING DEVICE
,j
///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
MEDICAL GAS
INCEPTORS
CICASH 0 CHECK 0 VISA EI MC
Card#
SIGNATURE
EXPIRES:
VIN
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