2014, 08-22 Permit App: BLD-2014-0852 Plumbing Fixtures Community Development %( - )-(51y f -oSS
Permit Center Project # Y"
S okane 11703E Sprague Ave,Suite B-3
Spokane Valley,WA 99206 RECEIVED
jValley° PHONE: (509)720-5240
FAX: (509)688-0037 APR 2 2 2014
Plumbing Permit Application ❑ Commercial Residential CS� I3tHIVI�I CENTER
SITE ADDRESS: Z2 6 5 V e ( c., Csc 4 SUB # 7T,
REV. # 1
Building Owner PGA t t (.X 3 kec._
Name: t►LIL Phone:Sig- Z?S -tj2Fax:
Address:ZZ LO _f C, C rPc,4 City:5• ` @ State: Zip:
Contractor1I
ANIos �tubw) e Avza yt 19k/m10 i ,n�
Name: M `)Le g tAT) Phone: Fax:
Address: y 003 E 3(Qt hCity:
Cit :1� c `c�►� State: Voct Zip: '(eZ z 3.
License No: Ago ' AP(4-i3tQ City Busines Lic:
Contact/Project Manager:'"1'Z i t° z e r
Name: Phone:so 5 y(p i u
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, s7
SINKS Prep/Culinary Meat G.
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 piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
Signature f`,,.i/r: V
CURRENT FEES AVAILABLE AT:http://www.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule.