2015, 03-12 Permit App: BLD-2015-0474 Water HeaterS okan'�e'`
A/aHey-
Community Development
Permit Center
11703 E Sprague Ave, Suite 8-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application D Commercial ,,Residential
SITE ADDRESS: I/ () 1 5 E bl
I PERMIT FEE:
Building Owner
Name: 1 M S G C Phone: Fax:
Address: Ilpi S E 01 �• e City:SpoLah L if t'� State: 4(4f_ Zip: C�' f,,�` D
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Contractor seG� FA t S pi vlj
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Name: ' h/)CA 11;St r. J
Address: 5-2,2, 0 Ai C ,) n (Le/— – 7
License No: 5pOKA. i P a �.JZ_._
Contact/Project Manager:
Phone: 9<7-SO'7 Fax:
City: 4 r State:
City Business Lie: ye
Name:
Phone: Cj �% — Ce -;"-c) '7
Zip: 9q...7
# UNITS
PLUMBING FIXTURE ON ATRAP
• 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
WATER USING DEVICE
Installation, Alterations, Repair, Reversals
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
REPAIR OR ALTERATION
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
MEDICAL GAS
INCEPTORS
Water piping, drainage or vent piping
Other than atmospheric type vacuum breakers
Signature
CURRENT FEES AVAILABL
te
T: http://www.spokanevallev.orof der the quick links for Forms, Master Fee Schec R 2 2015
Uroject y, Q`U tZ-c404
RECEIVED
120
_;SV PERMIT CENTER
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