2013, 11-18 Permit App: BLD-2013-2389 Plumbing Fixtures Community Development
Permit Center PERMIT NUMBER:
Sri Ocrn�1 ne 11703 E Sprague Ave,Suite B-3
PERMIT FEE:
t"' Spokane Valley,WA 99206
jValley9 PHONE: (509)720-5240
FAX: (5091688-0037
Plumbing Permit Application 0 Commercial g Residential
SITE ADDRESS: 1071/ F %fit h
Building Owner
Name: EA L_ '�'!z) �3 c 1"ck_ Phone:\[�� 9el Fax:
.�
Address: .y/ /�) �� .S City: s. e 4 viy State: voZip: l%).0 o
Contractor 5A M
Name:
Phone: 6. 9. cit Fax:
Z: -t TWk'l6) �✓((t'At _N. � d�F.S /
Address: City: r b n, ,r State: I.l) Zip: �('rJ �04
License No: City Business Lic:
Contact/Project Manager:
Name: Sim&Liu iky✓ Phone: `.196
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS . L
URINALS
TUBS z
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, �J
SINKS Prep/Culinary Meat
_ DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
4F"WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
4 ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
1—WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals
At 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
Signatureu)_a„
ize
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Project #
CURRENT FEES AVAILABLE AT:htto://www.sookanevallev.oro/under the quik links for Foi e• "
NUt;¢' , 2013
CSV PERMIT CENTER
REV.
httpJ/www.spokanevalley.org/filestorage/124/938210/948/1496/2743/Plumb App.doc