2015, 03-23 Permit App: BLD-2015-0610 Plumbing Fixtures*Wane
e
fey®
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 D Commercial N Residential
SITE ADDRESS: /?IC Lw/5e v<19 . Y j� aff
Building Owner
Name: 2 Icf�c t/ . RtW
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Address:
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Contractor
Name:
Phone: 5 (0y
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City: Vera cJ
Phone:
Address: City:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
Project #
RECEIVED
MAR 2 3 2015
L T NIT CENTF}R
i�11A3 # 17 REV. #
/i3 Fax: b? 2/3
ry
State: wy.9' Zip: C7 C3
Fax:
State: Zip:
# UNITS
PLUMBING FIXTURE ON A TRAP
• TOILETS
3
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
• DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATERSOFTNER .
FLOOR DRAIN
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
Area, Case, Coil, Trench, Condensate
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
Installation, Alterations, Repair, Reversals
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
REPAIR OR ALTERATION
If Gas, See Mechanical
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
MEDICAL GAS
INCEPTORS
Water piping, drainage or vent piping
Other than atmospheric type vacuum breakers
Signature
V(,,eicY
CURRENT FEES AVAILABLE AT: htt
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!under the quick links for Forms, Master Fee Schedule.