2012, 11-26 Permit App: BLD-2013-2454 Plumbing Fixtures Community Development
0000\ Permit Center PERMIT NUMBER:
C'Brie 11703 E Sprague Ave,Suite B-3 PERMIT FEE:
7 111 Spokane Valley,WA 99296, itv
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jValle)" PHONE: (509)720-5240 L�
FAX: (509)688-0037
Plumbing Permit Application ❑Commercial Residential
SITE ADDRESS: //0 L /Zi I/L72 Si De
Building Owner
Name: �-� Phone: , X33 ax:z=.ti�tiis u lf�s 5�9- �'�'—
Address: c City: State: jg Zip: ?.y0/
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)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
.F WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate •
44—ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals
4- 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.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule.
httpi/www.spokanevalley.org/filestorage/124/938210/948/14962743/P1umb App.doc