2014, 06-23 Permit App: BLD-2014-1460 Plumbing Fixtures Community Development
Permit Center project - V 20 (LE -� 401
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11703 E Sprague Ave,Suite B-3, i
Spo°rkane Spokane Valley,WA 99206 RECEIVEDki
I VAlley° PHONE: (509)720-5240 I
FAX: (509)688-00371 JUN 2 3 2014
CSV PERMIT CENT-t-
PERMIT F> E:
Plumbing Permit Application ❑ Commercial Resid ntial !
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SITE ADDRESS: SUB L 7REV r--- J
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Building OWner Kl L,ee n 1) - -3 Md�
Name: 'J �1 2,i clli Phone: _ `-,5ro Fax:
!�A'7"h�f G J�� / f City: "' State: Q Zip: Gj C�a�L
Address: j � 1 /, a bi 4 5i)nyane, Ai
Contractor w'i �7
Name: Phone: Fax:
Address: City: State: Zip:
License No: 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, I
SINKS Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER 1
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 Lila.142L 4 , 'B,,, ,Q,,_
CURRENT FEES AVAILABLE AT:http://www.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule.