2014, 04-17 Permit App: BLD-2014-0804 Plumibing FituresSpokane
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
\Taller PHONE: (509) 720-5240
FAX: (509) 688-0037
oject #=
RECEIVED
APR 1 7 2014
CSV IVII, t.-!1\11"
-ctv
Plumbing Permit Application ❑ Commercial�/�cit Residential
SITE ADDRESS: 1151% I e. V- ^ l vim" I
i
PERMIT FEE:
Building Owner
Fax:
Zip:
Zip:
# UNITS
Phone: fs/ - a 5
Name: ; j c -i �Y"S� '17-e-625C,State:
Address: City:
Contractor Fax:
Name: Phone:
State:
City:
Address:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
SINKS
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
Area, Case, Coil, Trench, Condensate
FLOOR DRAIN
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
Installation, Alterations, Repair, Reversals
1 1
WATER PIPING/DRAIN-IN WASTE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
WATER USING DEVICE
SYSTEM
PRIVATE SEWAGE DISPOSAL
If Gas, See Mechanical
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
INCEPTORS
Water piping, drainage or vent piping
REPAIR OR ALTERATION
BREAKER
ATMOSPHERIC TYPE VACUUM
DEVICE
Other than atmospheric type vacuum breakers
BACK FLOW PROTECTIVE
MEDICAL GAS
INCEPTORS
Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orgl under the quick links for Forms, Master Fee Schedule.