2013, 11-14 Permit App: BLD-2013-2371 Sewer Community Development
Permit Center PERMIT NUMBER:
Spokane 11703 E Sprague Ave,Suite B-3 PERMIT FEE:
11°` e Spokane Valley,WA 99206
jValley" PHONE: (509)720-5240
FAX: (509)688-0037
Plumbing Permit Application ❑Commerci 1 Residential--.-----
SITE
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!project # ��- ( I
SITE ADDRESS: RECEIVED ,
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Building Owner NOV
Name: ' Phone: Fax' 1 4 20133-1------
Address: City: State: Zip:
Contractor 72‘... r� i
CSV PERMIT c k R
,% Phone: ?70 r FaF. r
Name: v �` Oyl ` Stte SUL) �_ Zip: i? .V. _ i
Address: City:
License No: City Business Lic: .,.._,.,�__ . _
Contact/Project Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER .
CLOTHES WASHER
GARBAGE DISPOSAL
• 4 WATER SOFTNER
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
_PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER If Gas,See Mechanical
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
Signature
CURRENT FEES AVAILABLE AT:http://www.spokanevallev.orQi under the quick links for Forms,Master Fee Schedule.
http://www.spokanevalley.org/flestorage/124/938210/948/1496/2743/Plumb App.doc