2012, 04-25 Permit App: BLD-2012-0470 Plumbing Fixturesi
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
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PERMIT NUMBER: g d -Z01 2_ L(70
PERMIT FEE:
Building Owner
Name: f e— f
Phone: Fax:
Address:a
` City: ' ' O Ke (� t" Stale:
Zip: Z
Contractor
Name:
�C Phone:�',.� !i(% Fax:
Address: 7 I I
city: S / �
7 rub�
License No:
City Business Lic:
Contact/Project ivlanager:
Name: 44)r' r M IWer Phone: 2 1
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS ertra
SINKS
Lav/Sasins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Pre Culina Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area. Case. Coil. Trench. Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN. DRINKING
WATER PIPINGIDRAIN-IN WASTE
Installation, Alterations, Repair. Reversals v` �S
WATER USING DEVICE
Ice and/or Coffee maker• hose bib, steamer proofer. carbonator, .amp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps. vents except kitchenjyR2 grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water in • draina a or vent i 'n
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
UCASH U CHECK ❑ VISA O MC EXPIRES:
Card# VIN
SIGNATURE
r:\Community Development\02 Administration\03 Forms - Official Versions\Pcrmit Center\Plumbing Permit Application 04-03-09 dg.doc