2015, 08-05 Permit App: BLD-2015-1869 Res00010
Spo°Fkane
�j�alley,
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial
SITE ADDRESS:
Residential
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PERMIT FEE:
Building Owner
Name:
7 f� Phone: 7 Fax:
Address:
_ City, S40 State: Zip:
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)_
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Prep/CulinaryMeat
DISHWASHER
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 Alf -tions, Re air, 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 i in , draina a or vent i in
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
�rynaiure —–
CURRENT FEES AVAILABLE AT: http://Www.sookanevalley.orgi under the quick links for Forms, Master Fee Schedule.