2014, 01-22 Permit App: BLD-2014-0100 Plumbing Fixtures Community Development PERMIT NUMBER:
Permit Center __ ,_.,... __
*Mane ane 11703 E Sprague Ave,SI—
P
PERMIT FEE:�v��
r Spokane Valley,WA 9920 Project #
Valley PHONE: (509)720-5240
FAX: (509)688-0037 RECEIVED
j ❑
Plumbing Permit Application bat inie&ii014 0 Reside ial�
SITE ADDRESS: 3ZZc $ , L4J)tb Lt;f J'P RMIT CENTER
y
Building Owner 0,6 f f- Ls, ( ✓� Try�"I SUB # p F\/
Name: Phone: Fax: e - i
r City: ,,//--� State: 6 /�_ Zip: Z
Address: 3L(0,c E 2 s `eC lace. fel/ 9
Contractor `_ f /
Name: / I �/Yl !� 1 l� Phone: Gj2 �J Fax: ��(►f -3j�`1 Z�
t" l Etc av S & n4" [ `l State: Zip:
Address: �J City: vQ��,.� / ,
G �l City Bu mess Lic: J
License No: Aix Z 3L Q
Contact/Project Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lay/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS 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
4-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 piping,drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
Signature
CURRENT FEES AVAILABLE AT:httD:l/www.sookanevallev.oral under the quick links for Forms,Master Fee Schedule.
http://www.spokanevalley.org/filestorage/124/938210/948/1496/2743/Plumb App.doc