2014, 04-08 Permit App: BLD-2014-0733 Plumbing Fixtures Permit Center
Sffokane 1170313 Sprague Ave,Suite B-3 PERMIT
,,,,,OValley Spokane Valley,WAFAX
(509 99206
(509)688-U0366FAX:(509)688-0037 PERMIT FEE:
Permi -oig
Community Development
Plumbing Permit Application 0 Commercial �� Residential
SITE ADDRESS:
Building Owner
Name: I eQ5.1 fry-4H-r-OKs Phony 72E2_ �+ ,Gc
Fa
Address: / 14
' r Ave
city cilia, State: A
Zip: Fo/�//
Contractor ! ( ( fo
Name: &art" ,A)1 Xc. ..J c_
Address: ger E h Phone. ��4' I ACX, Fa>c g a a- 5010:
d `�
1
.711 E. ar++teale ity lae:V�Y WA 99
License No: L(RRV ih E t7SC
NT
Contact/Project Manager:
Name: Phone:
*OF UMTS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS _
SHOWERS(per trap)
SINKS lav/Basins,Bar,Floor,Kitchen,
Laundry,
Meat Jardtor,Photo,X-ray,Food,
Prep/Culinary
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
.� WATER PIPING/DRAIN-IN WASTE )0,7,,Ur-t1yslost flaUo�A � ,. .kter
WATER USING DEVICE Ice and/or Coffee maker,hose bib,steamer prooter,carbonator,swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER If Gas,See Mechanical
INDUSTRIAL WASTE PREIREATEMENT
INCEPTORS Including traps,vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION Water piping,drainage or vent taping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
°CASH 0 CHECK 0 VISA DMC EXPIRES:
Cards VIN Project -# S(---P -0-0/Lt—0733
SIGNATURE: RECEIVED
APR 08 2014 .
CSV PERMIT CENTER
CURRENT FEES AVAILABLE AT:httpJ/www.spokanevalley.orof under the quick finks for Forms,Master Fee I
SUB #� REV, # 1 11