2015, 05-19 Permit App: BLD-2015-1155 Plumbing Fixtures Community Development _
Permit Center UP-0)--6° 11703 E Sprague Ave,Suite B-3Project
/
S '153
.o•VValky. Spokane Valley,WA 99206
PHONE: (509)720-5240 R L 0 L j V E D
FAX: (509)688-0037
PERMIT FEE:
Plumbing Permit Application ❑ Commercial 21 Residential
SITE ADDRESS:
5). J wiA.GtihLaA �C. CSV PES, – N i ER
SUB # F;'= V ='-
Building Owner
Name: D � U1 j Phone.. 9f 'G46 Fax:
Address: I' 23 �Gt s a D,Q, City: ivotetvtuttail State: WA- Zip:
Contractor I
b,3t 1166^ e Nyt..s'f
Name:D�(�L I ons, -u., ,„, Phone: _864.3 4 Fax: A/A_
Address: 200( tn�Q( I�pz. City: �-E- State: )414_ Zip: qgooS
License No: City Business Lic:
Contact/Project Ma ger:
Name: c5cet` Phone: 6- _ ge4 -�fflg
#UNITS
PLUMBING FIXTURE ON A TRAP 4
TOILETS 1
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
WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
X
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
t
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.orq/under the quick links for Forms,Master Fee Schedule.