2013, 04-08 Permit App: BLD-2013-0597 Mechanical Fixtures } Community Development
Permit Center
ilikane 11703 E Sprague Ave,Suite B-3
Spokane Valley,WA 99206
jV"AlleyPHONE: (509)720-5240
FAX: (509)688-0037 64,e, /3,O
PERMIT FEE: l (1q_90
Plumbing Permit Application ❑ Commercial [Residential
SITE ADDRESS: 3 r/5
Building Owner , q
Name: � e 7 / Phone: / _�2 JS Fax:
Address: 3405--- s , ,/ City: S State: Zip:
Contractor
Name: Phone: 7/—/ ryFax: 5i_ /a,�7
Address: / /y / City: d S fi- State: Zip:"21
License No: riw/�' 15 �� 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 �j
WATER SOFTNER )4-
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
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATERX
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:/Iwww.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule.