2014, 06-26 Permit App: BLD-2014-1511 Plumbing FixturesCommunity Development
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SP okane 11703E Sprague Ave, Suite B-3
Spokane Valley, WA 99206 RECEIVEr-
.Valley. PHONE: (509) 720-5240
FAX: (509) 688-0037 JUN 2 6 201'i
Plumbing Permit Application ❑ Commercial
SITE ADDRESS:
Building Owner
Name:
❑ Residential ER M I T C 2:—
PERMIT FEE:
Phone: s cr pro sS--'eFax:
Address:
Contractor
51/0 V
C/ts' I' e
City: S',/ Q' State:
Zip: fJjef
Name:
Phone: Fax:
Address:
City: State:
Zip:
License No:
City Business Lic:
Contact/Project Manager:
Name:
Phone:
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
Z
CLOTHES WASHER
GARBAGE DISPOSAL
WATER SOFTNER •
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
WATER USING DEVICE
Installation, Alterations, Repair, Reversals
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
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
INCEPTORS
Water piping, drainage or vent piping
Other than atmospheric type vacuum breakers
Signature
CURRENT FEES AVAILABLE AT: httn:llwww.spokanevalleV•orq/ under the quick links for Forms, Master Fee Schedule.