2014, 01-16 Permit App: BLD-2014-0069 Plumbing FixturesS lane
P Valley -
Plumbing Permit Application
E ADDRESS:
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (5091688-0037
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PERMIT NUMBER:
PERMIT FEE:
BLD-aoN- oo-67
❑ Commercial n'Residential
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Signature
LD —-� / 1 DC) -6 I
CURRENT FEE AVAILABLE AT: http://www.sookanevallev.orq/ under the quick links for Forms, Master Fee Schedule.
gECEIVED
JAN t s 2014 � �
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/2743/PIumb App.doc
Building Owner •TIM v, r„c r
4 Fax:
Name:
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Phone: )/ ! -- 9 `1
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t l ti State:
Zip. / 9d 0,4
r City: 5 (}
Address: �'�/ E filo., G+` y
Contractor A” / N vi P/ i J.
t f C.^ i) Phone: JLi_ cyf% - yet) Fax:
Name:
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Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager: y�hi•c
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Phone: t) ( - a 9 y
Name: r
# UNITS
ATRAP
PLUMBING FIXTURE ON
TOILETS
URINALS
'
TUBS
'
SHOWERS (per trap)
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
3
SINKS
DISHWASHER
WASHER
CLOTHES
GARBAGE DISPOSAL
WATER SOFTNER
•F'
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
' ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
4' WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
4- WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
SEWAGE DISPOSAL SYSTEM
PRIVATE
WATER HEATER
If Gas, See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
Water piping, drainage or vent piping
REPAIR OR ALTERATION
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
, , _
Signature
LD —-� / 1 DC) -6 I
CURRENT FEE AVAILABLE AT: http://www.sookanevallev.orq/ under the quick links for Forms, Master Fee Schedule.
gECEIVED
JAN t s 2014 � �
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/2743/PIumb App.doc