2016, 04-11 Permit App: BLD-2016-1202 Plumbing Fixtures Community Development
''A Permit Center
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11703 E Sprague Ave,Suite B-3 �� � l�j— '�
Spokane Valley,WA 99206 Protect
Vdl PHONE: (509)720-5240 RECEIVED
FAX: (509)688-0037
APR 1
itEFEE:
Plumbing Permit Application ❑ Commercial ❑ Residential
IAER
SITE ADDRESS: ZZ I(c S . C.st4KLrr1 W , SPof1 4t. t1 t.t tyi S y i r'' �le 3
Building Owner S U B —' "7--V
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Name: 11.1E Kr.luDs Phone: sod:7 ZSC) 3" Fax:
Address: ZZltr S. C..t).44K1-n.f, RD City: SPote.4+4t 1)44-44•1 State: Zip: 1,763
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS )21
TUBS
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, Z
SINKS Prep/Culinary Meat ,.,/
DISHWASHER y2
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER fie
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals Ice
WATER USING DEVICE Ice and/or Coffee maker,hose bib,steamer proofer,carbonator,swamp cooler �f
PRIVATE SEWAGE DISPOSAL SYSTEM F[�
WATER HEATER If Gas,See Mechanical
INDUSTRIAL WASTE PRETREATEMENT �v
INCEPTORS Including traps,vents except kitchen type grease interceptors functioning as fixture traps
REPAIR OR ALTERATION Water piping,drainage or vent piping52
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/under the quick links for Forms,Master Fee Schedule.