2014, 09-08 Permit App: BLD-2014-2130 Plumbing Fixtures Community Development _'
_�,A Permit Center i pry ect rt-_ - 1 .)-1 b
S okane Permit
E Sprague Ave,Suite B-$
P Spokane Valley,WA 99206 j RECF1VFD
Valley PHONE: (509)720-5240 ;
FAX: (509)688-0037
.c::::.? 0 2014
1 I PERMIT FEE: I
Plumbing Permit Application 0 Commercial 0 Residential,c,\,ji, r.).1:' �, N T E C1
SITE ADDRESS: / 5—y C v//t� ,�'4-I U- cI1tiI
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Building Owner
Name: Phone: Fax:
Address: City: State: Zip:
Contractor
Phone: Fax:
Name: G�,�S�-,,nom State: Zip:
Address: City:
License No: City Business Lic:
Contact/Project Manager:
Name: LA-�t�� Phone: p of -�l'Z- '7,`I 0)C
I #UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
1
TUBS
I
SHOWERS(per trap)
Lav/Basins,Bar,Floor,IGtchen,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
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals
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 pi•ing
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
Signature edt., 40.,___E__„... --,-===z
CURRENT FEES AVAILABLE AT:http:/!www.spokanevailev.oro/under the quick links for Forms,Master Fee Schedule.