2016, 02-23 Permit App: BLD-2016-0511 Plumbing Fixtures Community Development Project
Permit Center
S"T'"i'TA 11703 E Sprague Ave,Suite B-3 RECEIVED
pokane Spokane Valley,WA 99206
4000 Valley' PHONE: (509)720-5240 FEB 2 3 2016 Scr-
FAX: (509)688-0037
C mitikATT FEB'r T E R
Plumbing Permit Application ❑ Commercial cResidential —
SUB # I j _( REV. #, j
SITE ADDRESS:
Building Owner \ / 4434 cY aG/
Name: f/� Q Phone: Fax:
Address: 70 ,f/{) die 0 vks.L�c.r City: p 0 GL,N 1,t_e_ J4jj Q U,State: , Zip: Gj,Z (i6
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
TUBS
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER �r
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
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 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 k''� �,.L�✓� 2
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CURRENT FEES AVAILABLE AT:http://www.spokanevalleV.orq/under the quick links for Forms,Master Fee Schedule.
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Customer VICTOR VITAKGENE •
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l'' pR ..�td Address 707 N. McDonald Rd
Spokane Valley WA