2012, 08-22 Permit App: BLD-2012-1352 Plumbing FixturesPermit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter a spokanevalley.org
Community Development
Plumbing Permit Application
SITE ADDRESS:
k7
GA"ir�' ..J
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial ® Residential
Building Owner
Name: Phone: Fax:
Address: City: State: Zip:
Contractor
Name: LEWIS CONSTRUCTION & DEVELOPMENT, INC Phone: 509-951-6959 Fax: 509-279-0967
Address: 8225 N. DIVISION Suite A City: SPOKANE State: WA Zip: 99208
License No: LEWISCD917BN City Business Lic: 602-728-595
Contact/Project Manager:
Name: Tim Lewis Phone: 509-951-6959
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
2
URINALS
TUBS
2
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
3
DISHWASHER
1
CLOTHES WASHER
t
GARBAGE DISPOSAL
1
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
3
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
gas
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
MASH ® CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevallev_orq/ under the quick links for Forms, Master Fee Schedule.
C:\Users\Tim\Desktop\ILCD\!!!Projects Active\12-045 - 1309 N Robie Lane - Spec\Permit Docs\12-045 2012.08.14 Plumbing Permit Application.doc