2009, 08-26 Permit App: 09002705 Plumbing FixturesSOtokane
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
perm ficenterti spokanevalic\.c
Community Development
Plumbing Permit Application
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ® Residential
SITE ADDRESS: ‘../ 0 / t 17. //4,41/ G/id✓t 11;77 '' / -
MASH D CHECK D VISA DMC
Cada
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
C:\Documents and Settings\User\My Documents\PlumbingPermitApplication040309.doc
Building Owner
Name: / /� �' Phone: Fax:
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Address: /70/.Z 5, di¢ C'-'1 City: ,��i4rie /.� State: {>9n Ztp4QD /
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Contractor
Name: TLC Construction Phone: 509-456-3687 Fax:
Address: 9006 S. Hayford Rd. City: Cheney State: WA Zip: 99004
License No: TLCCO" 107M6 City Business Lic:
Contact/Project Manager:
Name: Terry Courchaine Phone: 509-456-3687
# 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
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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
/
I
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
MEDICAL GAS
INCEPTORS
MASH D CHECK D VISA DMC
Cada
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
C:\Documents and Settings\User\My Documents\PlumbingPermitApplication040309.doc