2016, 02-17 Permit App: BLD-2016-0446 Plumbing FixturesCommunity Development
Permit Center_
Sc'TMOriAn 11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
"J m PHONE: (509) 720-5240 9�
FAX: (509) 688-0037
l PERMIT FEE:
Plumbing Permit Application ❑Commercial [V] Residential
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SITE ADDRESS: 3� 2'i
Building Owner
Name: n-;<\4NgrN 1�oM�S
Address:
Phone: Fax:
cjo� -209 - 3�
City: State: � �
Zip:
Contractor q
Name:
Phone: Fax:
Address:
City: State:
Zip:
License No:
City Business Lic:
Contact/Project Manager:
Name: co U,
Phone: �j0 _ �C - '� Sd
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#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
/
O
DISHWASHER
CLOTHES WASHER
s
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Re air, 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
(7<5
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION
Water OlDing. drains a or vent i in
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
Signature
CURRENT FEES AVAILA4J AT: http•//Www.spokanevalley.ora/ under the quick links for Forms, Master Fee Schedule.