2015, 03-10 Permit App: BLD-2015-0439 Plumbing Fixtures Community Development
Permit Center
11703 E Sprague Ave,Suite B-3
Spokane Valley,WA 99206
Valley. PHONE: (509)720-5240
FAX: (509)688-0037
Plumbing Permit Application 0 Commercial 0 Residential PERMIT FEE:
SITE ADDRESS: Ira -ke't
Building Owner
Name: ititIVIPAtil 140i vitiS TPC. Phone:5x_q -1(433. Fax -g2C1-
Address: )o• l?..�X IW r20 City: n , State:
11-.)44
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Contractor
Name: jL1afigil Lre. Phone: _C'Z?_ /c133 Fax: �i 2c,'6`/
Address: � Lox 14/0City:,<-,13)&-,t,_.'� �ZState: Zip:e"
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License No:/ , t .4N� 4r City Buin77aG
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Contact/Project Manager:
Name: ,v1Ll�lj-m7't Phone: --14(-q.Sll
#UNITS
PLUMBING FIXTURE ON A TRAP 1 \�
TOILETS 'L
URINALS _
TUBS �aaaaggqqtttt
{ SHOWERS{per trap) t
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER
1
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER I
{
} FLOOR DRAIN Area,Case,Coil,Trench,Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals
WATER USING DEVICE Ice and/or Coffee maker,hose bib,steamer proofer,carbonator.swamp cooler r
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER I If Gas,See Mechanical
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS { Including traps,vents except kitchen type grease interceptors fun t oning as fixture traps
REPAIR OR ALTERATION Water piping,drainage or vent piping
ATMOSPHERIC TYPE VACUUM BREAKER 1 I
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS { L
I
INCEPTORS
Signaturel,.
CURRENT FEES AVAILABLE AT: http:!/www_spokanevalley.orgf under the qu k links for Forms,Master Fee Schedule.
Project # 1 ZotS--cY-F39
RECEIVED el)
MAR 102015
CSV PERMIT CENTER
SUB # I REV, #