2009, 04-17 Permit App: 09000991 Plumbing FixturesCommunity Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
per mitcenterspokanevalley.ora
Plumbing Permit Application
❑ Commercial
Residential
PERMIT NUMBER: 1 I
PERMIT FEE: L, —
SITE ADDRESS: l Ua3 eiN 3 12ct 41/C:
Building Owner e Qin
Name:
1t
t
Phone: 6),
I �_ SOC c
Fax:
Address: La
2-3 3
Contractor
City:
State: Zip:
Name: E L/`h/A4ii4j.
Address: 40006 ! /'fry E 2,1
License No:
Phone: 2 — D v 5 P Fax:
City:
State: •
City Business Lic:
Contact/Project Manager:
Name:
Phone:
❑CASH ❑ CHECK ❑ VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org//uploads/Operations_and_Administration/Finance/MasterFeeSchedule.pdf
P:\Community Development \Building Division\Jodi-comm'I\PCF\DRAFT APPS\DRAFT plumbing APP.doc
# OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
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
i
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
❑CASH ❑ CHECK ❑ VISA 0 MC EXPIRES:
Card# VIN:
SIGNATURE:
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.org//uploads/Operations_and_Administration/Finance/MasterFeeSchedule.pdf
P:\Community Development \Building Division\Jodi-comm'I\PCF\DRAFT APPS\DRAFT plumbing APP.doc