2016, 02-12 Permit App: BLD-2016-0403 Plumbing FixturesCommunity Development
S"TMS 11703 E Sprague Ave, Suite B-3 Project #
n Permit Center ��(O 01103
poka e Valley, WA 99206 RECEIVE D
FValley SHONE: 2052�
40;00 FAX: (509) 688-0037
PERMIT FEE:
Plumbing Permit Application ❑ Commercial ❑ Residential
SITE ADDRESS: 10 0L
g'f ti
Building Owner
Name:
Phone: Fax:
Address:
City: State:
Zip:
Contractor
Name:
Phone: Fax:
Address:
City: State:
Zip:
License No:
City Business Lic:
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,
Preo/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
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 interce tors functioning as fixture traps
REPAIR OR ALTERATION
Water Dioina. drains a orvent nining
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
Signature
CURRENT FEES AVAILABLE AT: http•//www spokanevalley.org/ under the quick links for Forms, Master Fee Schedule.