2016, 02-19 Permit App: BLD-2016-0475 Plumbing FixturesCommunity Development
'�'�A� Permit Center
S"T Q11Lllile 11703 E Sprague Ave, Suite B-3
P Villip Spokane Valley, WA 99206
"J m PHONE: (509) 720-5240
'9;00FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial g Residential
SITE ADDRESS:
gW- a�16 -oy75
PERMITFEE:
Building Owner
Name: P
Phone: Fax:
�-
Address:
City: State:
Zip:
Contractor
Name:
Phone: Fax:
Address:
License No:
City: State:
City Business Lic:
Zip:
Contact/Project Manager:
Name:
Phone:
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
`
SHOWERS(per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Prep/CulinaryMeat
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 DiDing. drain... or vent nininn
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
Signature
CURRENT FEES AVAILABLE AT: http•//www.spokanevallev.org/ under the quick links for Forms, Master Fee Schedule.