2015, 08-10 Permit App: BLD-2015-1909 Plumbing Fixtures Community Development Project #10 `-4" JC- C)1`, 6..17S"T OF" Permit Center
11703 E Sprague Ave, Suite B-3 RECEIVED
Y Spokane Valley,WA 99206
jValleyy PHONE: (509)720-5240 AUG 1 0 2015
FAX: (509)688-0037 1
CSVFTER
Plumbing Permit Application 111Commercial Residential
(/ �, #9q j REV. 1
SITE ADDRESS: // eZ-3 L' L.--,pt•c. �vL 4,.� `ti�`"� 70
Building Owner L f,\ C4N-.,n -T,
Name: Sp?_Z,5 _j-y o Fax:
Ea3 S. ���� Phone:
Address: City: ,51,604,..,z_ State: t,.,/' Zip: 9'9 z 2 Z
Contractor (3 i.cJ... . s8....-N I'
Name: c,uj SJY p,,„," Phone:7lir_z 2= 6--c-50 Fax:
City: State: i') Zip: 1-5�3
Address: 3 37 k� g 5�,'� 2a< Y /jc�,,✓,e.., /
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP /
6
TOILETS
URINALS -
TUBS _
SHOWERS(per trap)
Lay/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER 3
CLOTHES WASHER 3
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 I
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 41 I
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 s
CURRENT FEES AVAILABLE AT:http://www.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule.