2011, 06-22 Permit App: 11001845 Drain Connecte
SpUge
�svalley
Community Development
Plumbing Permit
SITE ADDRESS:
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
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PERMITNUMBER: (—
PERMIT FEE:
Commercial Dg Residential
Building Owner -
Name: gsOh —+C(5nrN Phone: W?'e?- bg 77 Fax:
Address: Sgr'hC 4 OJ
C City: 5 UL State: LJA
Zip: 9
Contractor
Name: 0.r• M 1
F XC_ Phone: a 1 $ . 3--3 S Fax:
Address:
City: State:
Zip:
License No:
City Business Lic:
Contact/Project Manager:
Name:
Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS 1pertra
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food
Prep/Culinary Prep/CulinaryMeat
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 ai Reversals" ewe r
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, invamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents exce t kitchen type grease interceptors funcuonin 6 as fixture traps
REPAIR OR ALTERATION
Water piping,drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
-
Other than atmosphere type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH D CHECK D VISA DMC EXPIRES:
Card# - VIN:
SIGNATURE:
P:\Community Development\02 Administration\03 Fortes - Official VersionsWer nit Center\Plumbing Permit Application 04-03-09 de do: