2014, 05-27 Permit App: BLD-2014-1174 Plumbing Fixtures Community Development
Permit Center
CITY OF'',�„
r ��) 11703E Sprague Ave,Suite B-3 ,57ti
""liAile Spokane Valley,WA 99206 Project T- �— ((-r
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MilkyPHONE: (509)720-5240C E I V f�
FAX: (509)688-0037
MAY 2 7 2O14pERMIT FEE:
Plumbing Permit Application ❑ Commercial residential
SITE ADDRESS: 515 N , \IeV'C c rci; CSV PERMIT CENTER
Building Owner SUB # I --- R E V. 1
Name: M:Wm.�` 6S„r,sL,,1v Phone: 1 c9-.viii_Lra69' Fax:
Address: g\a\ /V, W coo d vrt,c- v-d. City: 5;p k.c6 ki a 1 i.e_`i State: w 4- Zip: 9,90 G
Contractor
Name: hvv&iL'So,A5 M-e-,k4v,a7 4 t' wu4,6✓1.5 Phone: So 1_g0v._096,0 Fax:
Address: 139 O 3 e / U t- City: Seo karu. /t l l_e,y State: vv/- Zip: 9g� /67,
License No: k N`J K.5 M 9 i,t7 ix,7 City Business Lic:
Contact/Project Manager:
Name: N•Fc. ‘yt5‘.k9 Phone: 5o`),- g1,(4- (iany
#UNITS
PLUMBING FIXTURE ON A TRAP _ ^
TOILETS _ o_
URINALS
TUBS —. a
SHOWERS(per trap) (
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, 5.
SINKS Prep/Culinary Meat _
DISHWASHER _. 1
CLOTHES WASHER — 11
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
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//cuu- ENT FEES AVAILABLE AT:http:/Iwww.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule.