2011, 06-23 Permit App: 11001855 Drain Connect....Valley.
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX. (509)688-0037
permitcemter(i)snokapevallev ore
Community Development
Plumbing Permit Application
PERMIT NUMBER: )
PERMIT FEE:
n Commercial j Residential
SITE ADDRESS: 736)7 E. /rf5r- I 3MC ry
Building Owner /3O10 Li 10p tr. el h
Name .4 r Phone y — 7a// Fax:
Address 7307 E. /ton-t-gomc Cy City: sec, OL7 State. j4 Zip: enla ) a
Contractor Jr �^'
Name: �grry mi ncr LTC. Phone. Fax:
�i�3�35
Address. City: State Zip:
License No. City Business Lic.
Contact/Project Manager:
Name. Phone:
11 OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, May. Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area Case Coil Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
I
WATER PIPING/DRAIN-IN WASTE
Installation. Alterations, Repa('Reversals 5Claic r
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp coder
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 pping. drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
'
Other than atmosphenc type vacuum breakers
MEDICAL GAS
INCEPTORS
DCASH D CHECK D VISA DMC
Cardu
SIGNATURE:
EXPIRES:
VIN
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