2013, 07-26 Permit App: BLD-2013-1472 Plumbing Fixtures Community Development
Permit Center PERMIT NUMBER:
St0°T1°`ka11703E Sprague Ave,Suite B-3
prie Spokane Valley,WA 99206 PERMIT FEE:
Valley` PHONE: (509)720-5240
FAX: (509)688-0037 3 —\ (t 7 Z
Plumbing Permit Application El Commercial `Residential
SITE ADDRESS: /tii cS . Sec -�
Building Owner
Name: �S/p//../F/21,3 / I��IJ Phone: 53U-. 9,93 Fax:
Address: / a, S. Se e k-.x.J City. -3/0,9/4-3/0,9/-3/0,9/4e-c_ v i State: L,.IA,� Zip: 9,;. /2Contractor SUP ►!i 0 (21,4 ft-A/ it /
Name: / ,•^._(,s.-.� Phone: S3.S .3KSt"7 Fax: S 3J /O93
Address: City: faxi/ State:
w —� Zip:
License No: O�z.x33 l City Business Lic:
Contact/Project Manager: / �4 / r
Name: Phone: Lig/_7C4 7
#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 1
51cl
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals [,v:1YI GrA1J:•'. `
47 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
CURRENT FEES AVAILABLE AT:htta://www.sookanevallev.orq/under the quick links for Forms,Master Fee Schedule.
httpi/www.spokanevalley.org/filestorage/124/938/210/948/1496/2743/Plumb_App.doc