2015, 06-02 Permit App: BLD-2015-1288 Plumbing Fixtures Community Development Project -r E 0-0
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Permit Center
• Spc'rYOliarie 11703E Sprague Ave,Suite B-3
Spokane Valley,WA 99206 RECEIVED
Valley PHONE: (509)720-5240 JUN 0 2 2015
FAX: (509)688-0037
CSV BMI(T MNTER
Plumbing Permit Application EICommercial ❑ Residential
SITE ADDRESS: / 5 2 Z 4 . ( 7 ,9�'e --s-/,69/ # �9//d;_,,,,---i' z /6
Building Owner
Name: 4// /1_co C, ` CAZ U ee,„ Phone:Soq 7zo-/6/ /Fax: _ p
Address:---5 0 . . $ /) D o 2'.9 L k v City: S/oe/�.4../e_ / Retate: 6(..„/ /1 Zip: ze6
Contractor 0 t:A.,'e A
Name: cj iqc 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 471
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, /
SINKS Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER Z
GARBAGE DISPOSAL Z
WATER SOFTNER
FLOOR DRAIN Area,Case,Coil,Trench,Condensate —2_
ROOFDRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals 2._
WATERUSING DEVICE Ice and/or Coffee maker,hose bib,steamer proofer,carbonator,swamp cooler
PRIVATE SEWAGE DISPOSAL SYSTEM Z
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 s ;3), .
CURRENT FEES AVAILABLE AT:http://www.spokanevallev.ora/under the quick links for Forms,Master Fee Schedule.