2013, 09-17 Permit App: BLD-2013-1887 Piping FROM (TUE) 8 17 2013 15:45/ST. 15:44/No.6001362861 P 2
Community Development
Permit Center ?)IJ).-n„ciiiklp 11703E Sprague Ave, Suite B-3 h V 6 '7'/
Spokane Valley,WA 99206
Valley' PHONE: (509)720-5240
FAX: (5091688-0037
PERMIT FEE: _1
Plumbing Permit Application ❑ Commercial El.Residential
SITE ADDRESS: It--kkq \:- .p s o:c :%1, .. p ck o,.,.� \I wv\\u ,A ,3t--\ q�C°,\fir
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Building Owner :......•:.,.,.;..:....
Name: t� Phone: 0121 ' \. v') Fax:
S�O,r r�! �, r��� �? . State: \ Zip: (l
Address: Cit
Contractor• :.,: :•.
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Name: �.:. tL Qi c\t-\ _,,,,-,\t-\ _,,,,-,\t-\ _,,,,-,�s -,_kL,�< Phone: `� x � k _ X9.1 C
r City: State: \ Zip: c ,. d
Address: Is Q`Z c cah Q� ___ ::.n ,�9-- W r� 9
License No: - City Business Lic:
Sl�l�h'\t rn�di� g; 6018Lua3 ,
Contact/Project Manaer
Phone: y— --‘,5- - v ,Q
Name: L,a{`•t,� �I\4 lr•2 to�
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap) r� ,, 15U-2— I -I t
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitors Ph�'Aryl..boC;----'
SINKS Prep/Culinary Meat I RECEIVED !-
DISHWASHER
DISHWASHER 1
CLOTHES WASHER 1 "') ! 7 ',7,11 t
GARBAGE DISPOSAL T �� ({
WATER SOFTNER cvv PErMI I C,ENTEI*; i
FLOOR DRAIN Area,Case,Coil,Trench,Condensa _
C”U B :� I R E`, -: I i
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING _.v. --
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,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,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:l/www.spokanevallev.orct/under the quick links for Forms,Master Fee Schedule.