2014, 05-27 Permit App: BLD-2014-1187 Plumbing Fixtures Community Development
Permit Center a CITY k e11703E Sprague Ave,Suite B-3 �7
vValSpokane Valley,WA 99206 Project # -26l ct"' i ��
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FAX: (509)688-0037 RECEIVED
Plumbing Permit Application ElCommercial (i Residential
MAY 2ppm(FEE:
SITE ADDRESS: 51 6 N V�'i'GYdRCSV PERMIT (�P�)TER
Building Owner IAA ,2( 15 In. SUB # _ REV.
Name: Phone: 501_,al troy rax I
Address: oL\ \ N. \K1 c eCity: sPc(�rns• 11 (4y State: Zip:9S)�p
Contractor O
Name: pt IA$ ,yq 24, f 1 vt, t bfvi/ Phone: 5o I gg09Cd Fax:
Address: rb qo 3 'i rQ I t City:5 p vtiL (jot(f e State: _ Zip:?9ca j
License No: \ S Fri City Business Lic:
Contact/Project Manager:
Name: livq Gua,e6r f5 k.) Phone: 50,7— 012.1_1_1 o't6,
#UNITS
PLUMBING FIXTURE ON A TRAP _
TOILETS _ a
URINALS
TUBS OR
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat _ 5
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 %J
Signature �_...._.._ .
C ' - FEES AVAILABLE AT:http://www.spokanevalley.ory/under the quick links for Forms,Master Fee Schedule.