2011, 12-07 Permit App: 11003826 Drain Connect'_^ Permit Center
c1°T'�ltitne 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER:
0 Spokane Valley, WA 99206
alley (509)688-0036 FAX: (509)688-0037 PERMIT FEE:
permiteenter0sookanevallev.orG
Community Development
Plumbing Permit
SITE ADDRESS:
Commercial Y Residential
Building Owner
Name:41
Phone: F �O�Z
Fax:
Address: r
73 City: e,
State:
Zip:
Contractor
Name:
Phone:
Fax
Address:
City:
State:
Zip:
License No:
City Business Lic:
Contact7Project Manager:
Name:
Phone:
It OF 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/Culmary 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
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 EXPIRES:
O
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org/ under the quick links for Forms, Master Fee Schedule.
http://www.spokmevalley.org/uploads/Community Development/DocumenLs/Foms/Building/PlumbingPemitApplication040309.doc