2014, 08-26 Permit App: BLD-2014-2053 Plumbing Fixtures Community Developmentr---
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Permit Center 1 Project ,t - —
*Wane 11703 E Sprague Ave,Suite B-3 I RECEIVED
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� - Spokane Valley,WA 99206gri
PHONE: (509)720-5240
FAX: (509)688-0037 I A JG ) b 20111
Plumbing Permit Application ❑ Commercial 1Resider tial CS."/ PERT CEN? IT FE
SITE ADDRESS: ' t pcv
Building Owner
Name: Phone: Fax:
Address: City: State: Zip:
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP 2..
TOILETS
URINALS ��77
TUBS "L.__
SHOWERS(per trap)
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food, LSF
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 piping
ATMOSPHERIC TYPE VACUUM BREAKER
BACK FLOW PROTECTIVE DEVICE Other than atmospheric type vacuum breakers
MEDICAL GAS
INCEPTORS
Signature
CURRENT FEES AVAILABLE AT:http://www.saokanevallev.oru/under the quick links for Forms,Master Fee Schedule.