2013, 10-28 Permit App: BLD-2013-2226 Water Heater Community Development ,"3") -(P
Permit Center PERMIT NUMBER:
Spo°�kane
°7 11703 E Sprague Ave,Suite B-3 Pr e�j�C `��� �,, _
Spokane Valley,WA 99206 D
jValley� PHONE: (509)720-5240 C
FAX: (509)688-0037
OCT 282013
Plumbing Permit Application ❑Commercial 0 Residential
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SITE ADDRESS: �Z U f� i I P V, ri
Building Owner / / . cam u
Name: Phone: r _ 63Fax:
Address: City: CState: WA__ Zip: 5'1 7 jContractor j, (ea '
Name: r� Phone: Fax:
Address:
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License No: SGS `/�1�Jc1—C79E�L C-- City Business Lic:
Contact/Project Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
.F"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 ventpiping
ATMOSPHERIC TYPE VACUUM BREAKER --'
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers _._.
MEDICAL GAS
INCEPTORS
Signature / _ 1 /0—Z C
CURRENT FEES AVAILABLE AT:http://www.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule.
httpJ/www.spokanevalley.org/filestorage/124/938210/948/1496/2743/Plumb App.doc