2013, 04-30 Permit App: BLD-2013-0761 Water Heater•
Permit Ccnt r
11703 E Sprague Ave. Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
perm itcenter!aspoksneval lev. ora
Community Development
Plumbing Permit Application
14328 E Nixon Ave Spokane valley, WA 99216
SITE ADDRESS:
irD COPY
640— 20 3 -OCG
PERMIT NUMBER:
PERMIT FEE: $'247 J
3.09
❑ Commercial ❑✓ Residential
Building Owner
Fax:
Name: Arlene Fritz
phone: 509 290-5757
( )
, State:
Zip:
99216
Address: 14328 E Nixon
City: Spokane Valley WA
Ave _
Contractor
Name: Precise Construction Group LLG Phone(509) 315-9927 Fax: (51).21N6-0371
Address: Aox 1222 City: Spokane Valley State: WA
Zip:
99037
License No:
City Business Lie:
Contact/Project Manager:
:„�.
Name: Phone:
# OF UNITS
FIXTURE ONATRAP
PLUMBING
TOILETS
URINALS
TUBS
SHOWERS trap)
•!
(per
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, UYiltty, Janitor, Photo, Xray, 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 Re.air Reversals
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer oroofer, carbonator, swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
includin. tra•s vents exce•tkitchen t •e ,rease intarce•tors runctionln• as fixturetra.&
REPAIR OR ALTERATION
Water piping drainage or vent pint
ATMOSPHERIC TYPE VACUUM BREAKER
SACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH 0 CHECK 0 VISA ® MC
Card# REDACTED
SIGNATURE:
EXPIRES:
VIN _
REDACTED
REDACTED
This document originally contained
confidential credit card information which
wc.s redacted pursuant to RCW 19.255.010
and the original document destroyed
L pursuant to SOS DAN GS2014-030.
P:\Community Development\02 Administration103 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc