2014, 10-20 Permit App: BLD-2014-2567 Plumbing Fixtures Community Development Project # et-O.-14°1 r2-5a
Permit Center
SfJSAlle 11703 E Sprague Ave,Suite B-3 RECEIVE D
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��Valley° Spokane Valley,WA 99206
PHONE: (509)720-5240 OCT 2 O 2014
FAX: (509)688-0037
Plumbing Permit Application 0 Commercial giResidential
CSV IpWNTFR
SITE ADDRESS: /S 3/2 ?,eel •
SUB # r REV. #
Building Owner
Name: //�� Phone: ca 9 X63 122?Fax: CO 9 .2 7- 5.1r2/
Address: City: fel,✓,!.../</e State: w,9 Zip: 590 3 7
Contractor _ 4 rJ
Name: Phone: Fax:
,C,ir've /soWt✓l State: Zip:
Address: City:
License No: C4.- U laic.g l , 0 0 6 T City Business Lic:
Contact/Project Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP b f
TOILETS .p, `1
URINALS 0� f,
TUBS 1
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat
• DISHWASHER 1 Z,
CLOTHES WASHER .
GARBAGE DISPOSAL 1
WATER SOFTNER • .L
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING 0
WATER PIPING/DRAIN-IN WASTE Installation,Alterations,Repair,Reversals
WATER USING DEVICE Ice and/or Coffee maker,hose bib,steamer proofer,carbonator,swamp cooler .T C.
PRIVATE SEWAGE DISPOSAL SYSTEM v
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
CURRENT FEES AVAILABLE AT:http:llwww.sookanevallev.orq/under the quick links for Forms,Master Fee Schedule.