2014, 09-04 Permit App: BLD-2014-2114 Piping •
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Community Development Development
Permit Center RECEIVED
11703 E Sprague Ave,Suite B-3
djValley. Spokane Valley,WA 99206
PHONE: (509)720-5240 11 4 2014
FAX: (509)688-0037
CSV PER MIT clriaan,
FEE:1
Plumbing Permit Application 0 Commercial iitiResideritial
SITE ADDRESS: /ciJ-73,,-2 q )/1/3 ,: tH/
Building Owner
Name: / fia kyluc4 Phone:1527q)429/—/ V Fax: --_
Address: OS k/..! City:5/i jdiegta, va,fifry State: Zip: 9 949/i4
Contract&
Name: Phone: Fax:
Address:
/0— City: State: Zip:
License No: City Business Lie:
Contact/Project Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP
•TOILETS
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 HEATERIf 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
4 / 6-2 -,97-e-e
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CURRENT FEES AVAILABLE AT:http://www.spokanevallev.oro/under the quick links for Forms,Master Fee Schedule.