2010, 06-04 Permit App: 10001628 Water HeaterSpokane
.0•0Valley
rermn (;enter
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter@spokanevalley.org
•
Community Development
Plumbing Permit Application
PERMIT NUMBER: l.S
PERMIT FEE:
Commercial
SITE ADDRESS: f 77 c E r.�,�}� Gh me ( i
iX$esidential
Building Owner —2 " MO_ I4 (�
Name: J Phone: C C Fax:
�1rl�,d (11cy/K,ecr� iii
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Address: 1-7- 1 / 'VnCI()YV1 C i-�l 4V P City: \0Qf\G,71 e Yt�I�,PV 7 col Zip: �gCillj
Contractor J /
Name: Phone: Fax:
Sp�kcty,e q1I+S Pi„ h,1ki Sett S/—��o
Address: City:State: Zi
512,2 O lU i,/ _oi 7 c� Zi(�0 h 2 ct),9_ p' C%c;',.„/
License No:City Business ic: 7
S6�c KA Fp C�-- T�—
Contact/Project Manager:
Name: 1✓✓II120 v1 G4 pp Y Phone: 9) % 9�i/
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# 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, Coil, 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
j
/
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 ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://www. spokanevalley. org/uploads/Community_Deve lopment/Documents/Forms/Building/Plumb ingPermitApp l ication0403 09. doc