2014, 08-27 Permit App: BLD-2014-2064 Plumbing FixturesCommunity Development
Permit Center
S okane
11703 E Sprague Ave, Suite B-3
p Spokane Valley, WA 99206
jValley PHONE: (509) 720-5240
FAX: (509) 688-0037
Project
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HtCEIVED
.AUG 2 7 2014
'�V PERMIT CENT
Plumbing Permit Application 0 Commercial Residential
SITE ADDRESS: / 6 /f S p/e_
PERMIT FEE:
Building Owner
Name: C.7 L l jam' :- S
Address: U S G1
Contractor
Phone: 5 . cls `? ? ( Fax:
City: Sop 1` Y State: Zip: L'/ 2
Name:
Phone: Fax:
Address: City:
License No: City Business Lic:
Contact/Project Manager:
Name:
PLUMBING FIXTURE ON A TRAP
TOILETS
Phone:
URINALS
TUBS
SHOWERS (per trap)
SINKS
State: Zip:
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
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
# UNITS
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
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 AVAILABLE AT: http://www.sookanevallev.oro/ under the quick links for Forms, Master Fee Schedule.
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