2014, 06-19 Permit App: BLD-2014-1427 Plumbing Fixturesokan e
P Valley
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Project #
RECEIVED
JUN 19 2014
CSV PERMIT CEr
Plumbing Permit Application 0 Commercial El Residential
IPERMIT FEE:
SITE ADDRESS: avv 3 f `)04__i
e 21
Signature
•
CURRENT FEES AVAILABLE AT: http://www.spokanevalleV.orq/ under the quick links for Forms, Master Fee Schedule.
Building Owner 5h e.\ 1 p 7 I 0 ad, r � "S`'�
Name: Phone: Fax:
Address: City:- fie:i'�.P 00„ State: •w:,. Zip: 1
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lie:
Contact/Project Manager:
Name: Phone:
# UNITS
ON A TRAP
PLUMBING FIXTURE
TOILETS
URINALS
TUBS
trap)
f
SHOWERS (per
SINKS
Lay/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
h!�
•
DISHWASHER
CLOTHES WASHER
'
GARBAGE DISPOSAL
SOFTNER
_
WATER -
DRAIN
Area, Case, Coil, Trench, Condensate
FLOOR
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
_
PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
I
WATER
USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
WATER
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
Water piping, drainage or vent piping
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
REPAIR OR ALTERATION
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.