2010, 12-22 Permit App: 10004126 Plumbing FixturesSpokan
��ValleyM
rermu Lcurci
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenteraspokanevallev. org
Community Development
Plumbing Permit Application
SITE ADDRESS:
PERMIT NUMBER: L
Commercial LI Residential
If& S - %3 A,
Building Owner
Name: SfeleiIA 1-^ r") Phone: Er ‘,3 —,ZG —-- Fax: 12 7 — /.70
Address: 3)0 S - S, ao,,,, /.ol City: S/0-{4� r 0 V, /i(.7 State: t✓,,r- Zip: %e`/c.i 7
Contractor /
/�
Name: /h ,ren ,, , t �.rt c s is „,w/ t _ Phone: y c/ rti — 2 -7 �cl Fax: q 2 7 -110 /
/City: Sinn State: Gt/9 Zip: �F�'3
Address: Po be u 2_ K
License No: �''1 < �4, H i 7 06 6 City Business tic:
Contact/Project Manager:
Name: S 4P A .,t r / / Phone: -j .-2G -7 S'
_
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
I
URINALS
TUBS
t,..f
SHOWERS (per trap)
IN, l
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
,i,'
CLOTHES WASHER
1- 1
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
'1,
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals ---s
'
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
IN 1
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
❑CASH 0 CHECK 0 VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley. org/uploads/Community_DevelopmenUDocuments/Forms/Building/Plumb ingPermitAppl ication040309.doc