2012, 08-23 Permit App: BLD-2012-1418 Water Pipingr
Spokane
�iValley
Permit Center
11703 E Sprague Ave. Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
rcr nitcentcrihspnkanevallev org
Community Development
Plumbing Permit Application
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PERMIT NUMBER:
PERMIT FEE: q y3 C&
❑ Commercial Residential
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SITE ADDRESS: `7001e-`_ Xi/1 Sirjet.e4,
Building Owner
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Phone. 3 / _7 _�J73 1 J Fax
Name' Tek y e(a s�A,r'//O
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Address 700 -f 6 , /"1 Rh,'�e7R City: .Vfio Pitt&u.7 Slate: 14/41 Zip: (9.-42—
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Contraclor /
Name 4.t-r/(?r (/e'Y 4-..4,..e„.. vc.tc,ktv Phone. . 4y 0Fax. 92
Address "7 / / - / t Rra-ficir Ai/[ i city: .5/1,0k (> (f'cy Slate. i�✓4 Zirr FY.? (la
License No: City Business Lic.
Contact/Project Manager: - -
Name. Larry NrN y /vlt//Lyr Phone: c2 /q" 3J3s
# 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/Cuimary Meal
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coll, Trench. Condensate
ROOF DRAIN/OVERFLOW DRAINS
i
FOUNTAIN, DRINKING
A"" WATER PIPING/DRAIN-IN WASTE
(l
10 fira Jr -Installation, Alterations, Repair, Reversals ge. w -e V
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
°DASH 0 CHECK D VISA ❑ MC
Caro
SIGNATURE
EXPIRES.
VIN
t"\Community Dcvelopment102 Administmtion103 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc