2014, 06-13 Permit App: BLD-2014-1370 Plumbing Fixtures• Community Development
Permit Center
*W�c�n'or 11703 E Sprague Ave, Suite B-3
ane Spokane Valley, WA 99206
�SVa11eyA PHONE: (509) 720-5240
FAX: (509) 688-0037
Project ?W)\1911-' ) 1Q
Plumbing Permit Application ❑ Commercial ❑ Residential
SITE ADDRESS: 4 f(0 5
JUN 13 2! I PERMIT F E:
Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq/ under the quick links for Forms, Master Fee Schedule.
Building Owner I
Name:Phone: ic Eli Fax: %
Address: City: State: Zip:
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: ,¢b..) ,p, -p---r- az..L., 9 9 if G ., City Business Lic:
Contact/Project Manager:
Name: Phone:
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
2
URINALS
TUBS
R
SHOWERS (per trap)
I
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
i1
CLOTHES WASHER
!
GARBAGE DISPOSAL
I
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.spokanevallev.orq/ under the quick links for Forms, Master Fee Schedule.