2010, 10-27 Permit App: 10003555 Plumbing Fixturesis
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcente nspokanevallev ori
Community Development
Plumbing Permit Application
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PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ❑� Residential
SITE ADDRESS: I LI v -P Q t' l ��
Building Owner
Name. Joseph L House Phone 509 928-5807 Fax
Address: 17406 E Montgomery Ave City Spokane Valley State: WA. Zip 99016
Contractor
Name 509928-5807 Phone. 509 928-5807 Fax:
Address City: State. Zip:
License Na City Business Lic.
Contact/Project Manager:
Name- Joseph L HousePhone: 509 928-5807
kit -LAPD. 'BA ?I u.,4640
#OF UNITS
PLUMBING FIXTURE ON A TRAP
s
TOILETS
I
URINALS
TUBS
SHOWERS (Per Iran)
I
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 Casa, 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
11 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
OCASH O CHECK O VISA OMC
Card#
SIGNATURE:
EXPIRES:
VIN'
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