2015, 04-06 Permit App: BLD-2015-0742 Plumbing FixturesCITY' OF
pokane
jValley
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial [Residential
PERMIT FEE:
SITE ADDRESS: i3i2- A)• fv6-t/i, riff 12-d
Building Owner czo b L..., rt. S —Got 0 Pmt(
Name: Phone: Soq ccou, ge,.D Fax:
Address: 17 $ Z N ii0011ei tru"IL f City: Sto katw vo41 e State: wCL , Zip: grid o&
Contractor
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Name: iYl[',D ce,�t,rQ,I �v fA� tIHli� Phone:St l /AC' b6tiq Fax: 54 ii7`i-"6-1log
Address: ,I8a$ �� /tlpy-Mt, hCI t e, SI J City: poY- 0c, State: WA, Zip: tigc5.-)06
License No: g t (7,0 C;CAO1 i �, City Business Lic:
Contact/Project Manager:
Name: Phone:
# UNITS
PLUMBING FIXTURE ON A TRAP
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1- t! ._/4, fj.f
TOILETS
Kt, %Q,le,
URINALS
/
TUBS
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SHOWERS (per trap)
SINKS
La Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/CulinaryMeat
DISHWASHER
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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
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WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
r7YYY
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
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Project 413L -1) -201S -0141 -2 -
RECEIVED
-$L1)-2ot5-01'1-ZRECEIVED Igp
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.ora/ under the quick links for Forms, Master Fee Schedule.
APR 0 6 2015
CSV PERMIT CENTER
SUB # I 1 REV. #