2014, 07-07 Permit App: BLD-2014-1582 Plumbing Fixtures/e,
jMil1ey.
Community Development
Permit Center �YO)@Ct
11703 E Sprague Ave, Suite B-�,
Spokane Valley, WA 99266 i
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial El Residential
SITE ADDRESS: IIQOG t. R;✓carr&? Pr.
RECEIVED
JUL 0 7 2014 (ir-
PERMIT FEE:
\I PFRMIT r6NTEr
f3EV.
Building Owner ( I
Name: %-tor'! ean3'l(vcrivn Phone: ?og.g30. ,N17 Fax:
Address: if u) oe acc4c in City: ter j,di,,,,,_ State: 3-p Zip: yf39,41
Contractor
Name: M6cf coniwrc4;‘,n Phone: .20 - /3C1' K697 Fax:
Address:nil, BaftrlJL 4. City: chum g,AIcA,. State. j Zip: 939ry
License No: City Business Lic:
Contact/Project Manager:
Name Jrn,ny Viiet Phone: a0�, 4 . 60i3
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
3
URINALS
O
TUBS
I
SHOWERS (per trap)
tf '
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
1
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 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
Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.