2012, 10-17 Permit App: BLD-2012-1848 Drain Connect •
Permit Center
��'� 11703 ESprague Ave,Suite B-3 PERMIT NUMBER:
Spokane Valley,WA 99206
(509)688-0036 FAX:(509)688-0037 PERMIT FEE:
pennitceiter' sookanevaliev.org
Community Development
Plumbing Permit Application ❑Commercial DI Residential
SITE ADDRESS: /4/4 /0 AI C Ave
Building Owner //
Name: !1!il� 77;ru _L- ti Yil�J r n Rhone: r`.rt " '-7/7 Fax:
Address: / � d �/r'� /�4. City: 5>n 7 ////err State: Zip:
Contractor
Name: Phone: i Fax: '
�,krr /1'�r ( �r � ��.'�`rK•y Sac' � /�� ��z2 -cot 0 q
Address: '7 f/ - h�k ��, Ave City:Sr.o� (��(4 y✓ State: i,{�� Zip:9/0e(a
License No: City Business Lic:
Contact/Project Manager: -- _
Name: L t
r y .//tr Phone: 02 /
T`- 333
` SOF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
LavlBasins.Bar.Floor.Kitchen.Laundry,Ufity..J ,Photo,X-ray,Food,
SINKS PrepiCtinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN Area.Case.Cod.Trench.Condensate
ROOF DRAINIOVERFLOW DRAINS
FOUNTAIN.DRINKING .04
/J
WATER PIPING/DRAIN-IN WASTE 9/ f' it t h Installation.Alterations,Repair,Reversals(opl.fr•.e C
WATER USING DEVICE Ice andlor Coffee maker,hose tab,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
OCASH 0 CHECK ID VISA 0 MC EXPIRES:
Carrot vIN
SIGNATURE
eACommunity Developmentt02 Administrationt03 Forms-Official VersionssPcrmit Center\Plumbing Permit Application 04-03-09 dg.doc