2015, 01-13 Permit App: BLD-2015-0063 Plumbing Fixtures l Project ' (5 -C)062-3Pommunity Development
SIT
�>A Permit Center RECEIVED
Sitokane B
11703E Sprague Ave,Suite -3
Spokane Valley,WA 99206 40jValley PHONE: (509)720-5240 . IAN 1 3 2015
FAX: (509)688-0037
CSV CENTPERMIT FEE:
Plumbing Permit Application 0 Commercial Residential
SITE ADDRESS: k I q G.J�/I k-1 r� u�i .__. E 1/.
Building Owner
Name: • Phone: Fax:
Address: City: State: Zip:
Contractor S$` timed 1 2&el\ e ', LL
Name: Phone: Fax:
SZi�V�?� h�c�ciso'� So9�d�{1 �t7Yy So47�SSsf1Set
Address: /(.s x'1. e KiC City: ;b ert L4 K e State: w A Zip:c(ld(c�
711 7�ZiQr'
License No: s(.4.4 Hc.c7gKA City Business Lic:
Contact/Project Manager:
Name: S2-�VZ`)'1 rn0-4-T i 1671 Phone: 50 q �d�I1 47 K�{
#UNITS
PLUMBING FIXTURE ON ATRAP
TOILETS _ I
URINALS
TUBS
SHOWERS(per trap)
Lay/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
DISHWASHER
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
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 pipin•
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
Signature
CURRENT FEES AVAILABLE AT:http://www.sookanevallev.orq/under the quick links for Forms,Master Fee Schedule.