2013, 10-08 Permit App: BLD-2013-2066 Drain Connect tot3 - Zokoo
avos119\aev, Permit Center
"I 11 • 11703 E Sprague Ave,Suite B-3 PERMIT NUMBER:
/Talky- • Spokane Valley,WA 99206
(509)688-0036 FAX (509)688-0037 PERMIT FEE:
pennitcenterpokanevanev.org
Community Development
Plumbing Permit Application D Commercial Residential
SITE ADDRESS: /4- soC A"te...--/, Ave
Building Owner
Name: jean/tile. 4J /y Phone:egg..frC8 ROC
Address: City: State: Zip:
Contractor
Name: A r ,Acca_V4."// ..=hcmc 2.—e: C7o2.0e) Far ro2g-',3-0/0
Address: '71/ 4vc._ City: .510, Ka State: WA ziP:99 ta
License No: MRR)'7W E 87671v7 City Butmess Lie:
Contact/Project Manager:
Name: al" mi./7e 1, Phone: 02 I „.33S
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#OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lay/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janftor,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
.96 WATER PIPING/DRAIN-IN WASTEi k, Installation,Alterations,Repairites)
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WATER USING DEVICE 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 V
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
[(CASH 0 CHECK 0 VISA 0 MC EXPIRES:
Card# gc -- ?c13-
SIGNATURE: VIN: r• ' -
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r'013
CURRENT FEES AVAILABLE AT:htlo://www.sookanevallev.ora/under the quick finks for Forms.Master Fee Scheduie: r-