HomeMy WebLinkAbout2011, 06-13 Permit App: 11001728 Plumbing Fixtures11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcentert spokanevalley.org
Community Development
Plumbing Permit Application
PERMIT NUMBER: c'1''; ?
PERMIT FEE:
❑ Commercial residential
SITE ADDRESS:
131y g 0Mi4
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
ROOF DRAIN/OVERFLOW DRAINS
Area, Case, Coil, Trench, Condensate
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
PRIVATE SEWAGE DISPOSAL SYSTEM
Installation, Alterations, Repair, Reversals
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
It
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
If Gas, See Mechanical
REPAIR OR ALTERATION
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
MEDICAL GAS
Water piping, drainage or vent piping
Other than atmospheric type vacuum breakers
INCEPTORS
DCASH D CHECK D VISA DMC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community DevelopmenUDocuments/Forms/Building/PlumbingPermitApplication040309.doc
Name: ga, d 1 OAC Q� r //A Phone: Fax:
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Address:
%YC ,A4 -A- a City:State: Zip:
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Contractor P `� r
Name: TT �/� � /
Ler,E_ Xt 11,44'$q.c Phone: D.,S/ 0Sci Fax:
Address: (OSD S City: Csn�?n/-4-! rtes State: Lt Zip:
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License
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No: City Business Lie:
Contact/Project Manager:
Name:
Phone:
# OF
PLUMBING FIXTURE ON A TRAP
UNITS
TOILETS
'
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
I
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER
FLOOR DRAIN
ROOF DRAIN/OVERFLOW DRAINS
Area, Case, Coil, Trench, Condensate
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
PRIVATE SEWAGE DISPOSAL SYSTEM
Installation, Alterations, Repair, Reversals
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
It
WATER HEATER
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
If Gas, See Mechanical
REPAIR OR ALTERATION
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
MEDICAL GAS
Water piping, drainage or vent piping
Other than atmospheric type vacuum breakers
INCEPTORS
DCASH D CHECK D VISA DMC
Card#
SIGNATURE:
EXPIRES:
VIN:
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq/ under the quick links for Forms, Master Fee Schedule.
http://www.spokanevalley.org/uploads/Community DevelopmenUDocuments/Forms/Building/PlumbingPermitApplication040309.doc