2014, 03-25 Permit App: BLD-2014-0572 Plumbing FixturesCommunity Development
Plumbing Permit Application
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
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SITE ADDRESS: 11901 E. Sinto Ln. Spokane Valley, WA 99206
Project
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Building Owner
Name: Lewis Construction & Development, Inc. Phone: 509-998-2304 Fax: 509-279-0967
Address: 8225 N Division - Suite A City: Spokane State: WA zip: 99208
Contractor
Name: Lewis Construction & Development, Inc. Phone: 509-998-2304 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: Greg Streicher Phone: 509-951-0279
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
2
URINALS
0
TUBS
1
SHOWERS (per trap)
1
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
4
DISHWASHER
1
CLOTHES WASHER
1
GARBAGE DISPOSAL
1
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
1
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
2
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
❑CASH ❑ CHECK ❑ VISA ❑ MC
Card#
SIGNATURE:
EXPIRES:
VIN:
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Plumbing Permit Application 04-03-09 dg.doc