2013, 06-05 Permit App: BLD-2013-1041 Plumbing FixturesSif&cane
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX (509)688-0037
permitcenter@spokanevallev-ora
Community Development
Plumbing Permit Application
SITE ADDRESS: �� l j ✓ 'r- /f S C
OtAJ
-(4,11" • 1011
PERMIT NUMBER:
PERMIT FEE: * L(3.00
0 Commercial gResidential
Building Owner
Name: C%/i—($ /1 /*i1 -/'t-
Phone: 1. .02.y7i
Fax
Address: SRS^-, e_
City , 5300, /4.4( e y
State:
Zip:
Contractor
/y�
Name: r r I 1 c Exp �Q �► 11�
Phone: l� r1�'P °" o
Fax (IAA _50i0
Address: 711 ! ! / w++er A is
Ct' , VL„
State: w A
H
Zip: 9l A l A
License No:
City Busii Lie: 1
Contact/Project Manager:
NamC: L.arr / in i 1 Ler
: a it - 333
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
DISHWASHER
Lav/Basins, Bar, Floor, Krtchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Cufinary Meat
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
I5 4 PP'I1 l K&Instaftation, Alterations, Repair, Reversals ,j a.-le:re-1—
PRIVATE SEWAGE DISPOSAL SYSTEM
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
(
WATER HEATER
INDUSTRIAL WASTE PRETREATMENT
INCEPTORS
If Gas, See Mechanical
REPAIR OR ALTERATION
Includtmg traps, vents except kitchen type grease interceptors functioning as fixture traps
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Water piping drainage or vent piping
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
❑CASH ❑ CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: httpJ/www.spokanevafev.ory/ under the quick links for Forms, Master Fee Schedule.