2015, 03-30 Permit App: BLD-2015-0692 Plumbing Fixturessizkano,
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial [As Residential
Project
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RECEIVED 23C\--
M'R301116
PERMIT FEE:
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SITE ADDRESS: itr..2 ?f0 /c ///9a1,4, Y S —,
Building Owner -•ja3 j`
Name. Phone q j
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Address:/poi friHip TiMtES Z. v City. L/BF/Li- - �� State: Zip: �y 5o/9
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Contractor L� s eir- r�
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Name: 7-64Mr L/Grf Phone:6'0,9)
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Address:/003 �h�y ts City: State: Zi
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License No: �.as�i5 02/5 City Business Lic: j
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Contact/Project Manager:
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Name: 7-ar1 BGV vL/G'/if Phone: s0) 94 ' ----e9. 3
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# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
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Of
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
/
CLOTHES WASHER
GARBAGE DISPOSAL
/
WATER SOFTNER
/
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate,(
Sl/
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ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
WATER USING DEVICE
fce and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
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PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
Including traps, vents except kitchen type grease interceptors functioning as fixture traps
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ee
INDUSTRIAL WASTE PRETREATEMENT
INCEPTORS
REPAIR OR ALTERATION
Water piping, drainage or vent pipingIU
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
V
O
INCEPTORS
Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevalleV.orq/ under the quick links for Forms, Master Fee Schedule.