2013, 06-10 Permit App: BLD-2013-1070 Drain Connect Jun 1013 10:20a Norm's Excavating, Inc 509-448-4906 p.4
Community Development
SPermit Center
`7f1 11703 E Sprague Ave,Suite B-3
" e Spokane Valley,WA 99206
4000*Valley PHONE: (509)720-5240
FAX: (509)688-0037
b1-10'-20(5- 1070
PERMIT FEE: $ N2.(,p
Plumbing Permit Application ❑ Commercial ® Residential
SITE ADDRESS: 14802 E Rockwell
Building Owner
Name:LARSON Phone:385-3608 Fax
Address: SAME City: State: Zip:
Contractor
Name:NORMS EXCAVATING INC Phone:928-0580 FaK 448-4906
Address:P.O.BOX 30873 SPOKANE WA 99223
License No:NORMSEI972BM City Business Lic
Contact/Project Manager:
Name:TINA LINGO Phone:928-0580
#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
WATER SOFTNER
FLOOR DRAIN Area.Case,Coll,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 type9rease 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. l
Signature
CURRENT FEES AVAILABLE AT: http:/lwww.spokanevallevorgl under the quick links for Forms,Master Fee Schedule.