2013, 03-12 Permit App: BLD-2013-0410 Plumbing Fixturesr' 03-12-13;08:17AM;
City of Permit Center
Spokane 11707E Sprague Ave. Suite 106
Valley Spokane Vnlloy, WA 99206
(509)720.5240 FAX: (509)585.0037
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Plumbing Permit Application
SITE ADDRESS 7608 E. South Riverway Avenue
PERMITNUMBER:OP1( PERMIT FEE ' 71,00
( ) Commercial
(x) Residential
OWNER
BUILDING
Patrice L Tobier Phone: 362-3288 Fax:
Name:
City: 7608 E. South Riverway Ave Spokane Valley State: WA Zip: 99212
CONTRACTOR
Name: K. C. Charles, Inc.
Phone No.: 276-1228 Fax No.: 276-1270
Address: 5685 Jergens Road
City: Nine Mile Falls State: WA Zip: 99026 i
License No.: KCCHAI088OT City Business Lim 601 219 705
Controct/Project Manager,
Name: Cary E, Berger Phone: 276-1228
# OF UNITS
PLUMBING FIXTURE ON ATRAP
TOILETS
1
-
URINALS
TUBS
1
SHOWERS (per trap)
SINKS
Lava/Baaln, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X -Ray, Food,
Prep/Culinary Meat
3
DISHWASHER
CLOTHES WASHER
t
GARBAGE DISPOSAL
WATER SOFTENER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
' FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alteration, 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, Sea Mechanical
INDUSTRIAL WASTE PRETREATMENT 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 (X) MC () EXPIRES'
Card t VIN
SIGNATURE: