2009, 04-27 Permit App: 09001089 Floor Drain, Sewer InjectorrPermit Center
Spbk�rte 11703 E Sprague Ave, Suite 13-3
aosarvalley Spokane Valley, \VA 99206
(509)688-0036 FAX (509)688-0037 PERMIT FEE:
Community Development permilccntci:aupokmievallev.ute `T
Plumbing Permit Application ❑ Commercial Residential
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PERMIT NUMBER:
SITE ADDRESS:
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Building Owner
Name:
Address:
Contractor
Name:
Address
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City:
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Contact/Project Manager: //i �' U / /
Phone:
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Fax:
State:
Fax:
State
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Name:
Phone:
❑CASH ❑ CHECK 0 VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org//uploads/Operations_and_Administration/Finance/MasterFeeSchedule.pdf
P:\Community Development\Building Divisionvodi-comm'I\PCF\DRAFT APPS DRAFT plumbing APP.doc
# 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
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case. Cod. 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
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
❑CASH ❑ CHECK 0 VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org//uploads/Operations_and_Administration/Finance/MasterFeeSchedule.pdf
P:\Community Development\Building Divisionvodi-comm'I\PCF\DRAFT APPS DRAFT plumbing APP.doc