2013, 05-01 Permit App: BLD-2013-0753 Plumbing FixturesStkliane
Communi ^velopment
Permit Ce
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial [Residential
SITE ADDRESS: NSI �..). D q (ass
&fJ 204 - C7�3
PERMIT FEE: .t 77 co
Building Owner
Name: eg,aaa ?„n4.le.4k Phone: Fax:
Address: i si ( 2A ,ce p s City: State: il d Zip: Cco 5 9Contractor
"�'”
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
# UNITS
FIXTURE ON A TRAP
PLUMBING
TOILETS
Nom
URINALS
0.2
TUBS
trap)
SHOWERS (per
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
SINKS
DISHWASHER
1
I�
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
Area, Case, Coil, Trench, Condensate
/*
FLOOR DRAIN
DRAINS
/714
ROOF DRAIN/OVERFLOW
DRINKING
14:FOUNTAIN,
WASTE
Installation, Alterations, Repair, Reversals
WATER PIPING/DRAIN-IN
DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
/�R
WATER USING
DISPOSAL SYSTEM
/
PRIVATE SEWAGE
If Gas, See Mechanical
t
!y
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT�J
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
W
INCEPTORS
Water piping, drainage or vent piping
2.•°
REPAIR OR ALTERATION
VACUUM BREAKER
ATMOSPHERIC TYPE
DEVICE
Other than atmospheric type vacuum breakers
r
BACK FLOW PROTECTIVE
r'
MEDICAL GAS
INCEPTORS
f
Signature
CURRENT FEES AVAILABLE AT: http:/lwww.spokanevallev.orst/ under the quick links for Forms, Master Fee Schedule.