2014, 06-09 Permit App: BLD-2014-1317 Plumbing Fixtures Permit Center I Project -; 1 e13
11703 E Sprague Are,Suite B-3 PERMIT NUMBER.:
Spokane Valley, ' A 99206 RECEIVED
® �' (509)688-0036 F. -(509)688-0037 PERMIT FEE: . 60
community Development JUN 0 9 2014 ,I
Plumbing Permit ApplicationIr C R T T C ❑Commercial Residential
SITE ADDRESS:_ /qoo? ILC t3 e ,,/ore e
REV. .
Building Owner — --
Name: ,JeN-i-i ,--41.-- ,�dt'ye-ir Phone: sv!J' 573 / Roc
Address: 5/[tom+-.--Q Criy' _90,o // f(ey State: Zip:
Contractor
Name: Larry Al1 LIer Exc. /inC : �dl.,. tACACS Fa' 9 aa- 50tt3
Address: .7/t 7 E_ fi A"1-"� !�
. r ate Ci y�r��p. A.m. State: WA Zip: . 9a►a .
License No: L ilR R y.h1 E t 7 g J 7 City Busi�Lic:
Contact/Project Manager: •
Name: Phone:
*OF UMTS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Ubliity,Janitor,Photo,X-ray,Food,
SINKS PreplCurmary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING �7/ qj �
WATER PIPING/DRAIN-IN WASTE F%/4 `P#_U-- Installation,Alterations,Renal l versals Jr e- e r
WATER USING DEVICE Ice and/or Coffee maker,hose bib,steamer prooter,carbonator,swamp coder
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
DCASH 0 CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE 00e. ---.."�►�.i� II
,ii-"7 ' '''•4 -0
Apt,
CURRENT FEES AVAILABLE AT:httpJ/www.spokanevalley.or_N under the quick lInks for Forms.Master Fee Schedule.