2014, 03-21 Permit App: BLD-2014-0545 Plumbing Fixtures Comm"' ''y Development
Permitter /
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"'Bane 11703 E Sprague Ave,S I �3,Ct # '�"'�-""' ' OS
� 1= e' Spokane Valley,WA 99 06 J c
PHONE: (509)720-5240 1RECEIVED _
FAX: (509)688-0037 i
MAR e 2 1 2014 PERMIT FEE:
Plumbing Permit Application ❑ Commercial 10 Residential
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SITE ADDRESS: "7 I I S. W H,e p1Q 1,11 SfIckAkrt,. - el
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Building Owner ,__,...__.____ __-
Name: ',11 src Phone: ✓ N Ci70U Far.
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Address: 5--e 2\ 5j, 61ChC/W City: Serk' State: Zip: 9yL2.3
Contractor
Name: y 4.. (w k tcle✓S — l I N1 �q tr tircS Phones o4) "0 .c/3 6 Fax:
Address: 701 S_ L/ N k Q 0t, City: ,i1L State: )k Zip: 9 q 106
License No: I,-Y vvxviD-c(2 16 3^ City Business Lic:
Contact/Project Manager:
Name: —504. Solv�ccI Phone: '9O-5 /36
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS Z
URINALS
TUBS 2.
SHOWERS(per trap) I
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER 1
CLOTHES WASHER (
GARBAGE DISPOSAL 1
WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals I
WATER USING DEVICE Ice and/or Coffee maker,hose bib,steamer proofer,carbonator,swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM 4WATER 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
CURRENT FEES AVAILABLE AT:http://www.spokanevallev.orgl under the quick links for Forms,Master Fee Schedule.