2015, 04-14 Permit App: BLD-2015-0814 Plumbing Fixtures Community Development
Permit Center
Spokane 11703 E Sprague Ave,Suite B-3
Spokane Valley,WA 99206
�,f Valley$ PHONE: (509)720-5240
FAX: (509)688-0037
PERMIT FEE:
Plumbing Permit Application El Commercial tt<sidential
SITE ADDRESS: 4 /.j 67. /Zat //e),) 1 v /
Building Owner /
Name: A"n
7 C� jJ od ye rS Phone: 4 -.a 75Fax:
Address: 61 •••-` �� /e! City: OQ. a) State:
v, / Zip: 99
7 J
Contractor
Name: -3- ph `G > a e f 6.:,‘ Phone:�7 5 / / 1 Fax: S-a Yee
Address: k7 7 /J30 7/ �' City: s' 64,031, n PiD((Q/ State: Zip: 4919,0.7/
License No: CC'1'M S� /_lC�/eR / L z City Bu ness Lia 7720�L! fv a /3
Contact/Project/Poj� Manager:�// / C %J `
Name:/ �. ! 11k e 5 6/eL t.P.T P.Y Phone: S0 9 70/ " a
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER •
CLOTHES WASHER
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 X.
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
Signature Project -4-.93W
RECEIVED '7
CURRENT FEES AVAILABLE AT:http://www.spokanevalley.orq/under the quick lihks for Forms,Master Fee Schedule.
I
APR 142015
CSV PERMIT CENiT
SUB__�� REV.