2015, 03-12 Permit App: BLD-2015-0476 Water Heater •
Community Development .
Permit Center
Spokane 11703 E Sprague Ave,Suite B-3
Spokane Valley,WA 99206
jValley- PHONE: (509)720-5240
FAX: (509)688-0037 •
I PERMIT FEB: l
Plumbing Permit Application 0 Commercial `Residential
SITE ADDRESS: (.2 g10z E $Q I +ems •
Building Owner
Name: 1 ) Phone: � ` , )Fax:
Address: � (kg 0 .- ( S - 11 City: ..• C \ tate: f�. Zip: 00
Contractor S1.• cue)f I(s '� kibvt 10+ Fax:
Name: ' MCA 1 1 I t (r e: 9s7— 6-6 EQ? 5 /� r' y C= State:�J� Zip: �v'+,1�
Address: �2.,,,2„.c, /� /71-0,.� St Cif : h�.License No: Cpogo FD qaa , City Business Lie: /cc,
Contact/Project Manager:
Name:
sI Phone: cis-1_ �, p`
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#UNITS
PLUMBING FIXTURE ON A TRAP
•TOILETS
URINALS
TUBS
SHOWERS(per trap) Utility,Janitor,Photo,X-ray,Food,
Lav/Basins,Bar,Floor,Kitchen,Laundry,
SINKS Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER •
GARBAGE DISPOSAL
WATERSOFTNER -
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 j
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CURRENT FEES •kty1 LA'j' EAT. tf•liwwws•o anevallev.or under the quick links for Forms,Master
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RECEIVED r--9
MAR 12 2015
.:SV PERMIT CENTER
SUB - ��( I REV.