2013, 10-28 Permit App: BLD-2013-2227 Plumbing Fixtures 11703 E Sprague Ave,Suite B-3 PERMIT FEE:
Spokane Valley,WA 99206
PHONE: (509)720-5240
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CSV PERMIT CENTER
Plumbing Permit Application Commercial Residential
SITE ADDRESS:_14111 E.
Queen
Building Owner
Name: Herman L.Spangle Phone: 509-496-5466 Fax:
Address: E14111 Queen Ave. City: Spokane Valley State: WA Zip: 99216
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP 3
TOILETS
URINALS
TUBS
SHOWERS(per trap)
SINKS Lav/Basins,Bar,Floor,Kitchen,
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair, t
WATER USING DEVICE Ice and/or Coffee maker,hose bib,
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER If Gas,See Mechanical
INDUSTRIAL WASTE PRETREATEMENT INCEPTORS Including traps,vents except
REPAIR OR ALTERATION (Re-work for Sewer Connection) Water piping,drainage or
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE (Yes) Other than atmospheric type
MEDICAL GAS
INCEPTORS
Signat - if a
CURRENT FES http://www.spokanevalley.oro/AVAILAB/ A : htt ://www.spokanevalley.orq/under the quick links for Forms,Master Fee Schedule.
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