2012, 04-25 Permit App: BLD-2012-0475 Plumbing Fixtures(Spokane
„i,,i�Valley�
11 iUs n Sprague Ave, uite u -.s
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
pennitcenter c(�,spokanevalley.org
Community Development
Plumbing Permit Application
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SITE ADDRESS:
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PERMIT FEE:
n Commercial n Residential
Building Owner Zola
Name: Phone: Fax:
Address: / 9A --/J 3 ,06/& City: State: Zip:
Contractor �Ci ,�//: (/' t of
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Name: Phone:/— 327 33/ Fax:
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Address: as— iT- City: �—� State: 0 .. Zip:9/6/.9c—
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License
License No: FR4 - p P / L•r City Business
Contact/Project Manager:
Name: Phone:
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
SINKS Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
/
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
ROOF DRAIN/OVERFLOW DRAINS
Area, Case, Coil, Trench, Condensate
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
WATER USING DEVICE
PRIVATE SEWAGE DISPOSAL SYSTEM
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
If Gas, See Mechanical
REPAIR OR ALTERATION
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Water piping, drainage or vent piping
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
['CASH 0 CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/PlumbingPermitApplication040309. doc