2009, 08-27 Permit App: 09002730 Plumbing Fixtures C771 30
Permit Center
11703 E Sprague Ave,Suite B-3
Ile PERMIT NUMBER
(Valley Spokane Valley,WA 99206
3
.nrl/ (509)688-0036 FAX:(509)688-0037 PERMIT FEE:
Community Development perniitcenterkdispokanevallev.orte
Plumbing Permit Application n Commercial n Residential
SITE ADDRESS: _ ZO e tiP4 Mit, , $POi±rAiJ E U A-a 2V i/ w A- 492.0G
Building Owner -Ek g. Net_60/0
Name: .l• NGa_s4au Phone: ap-6,93? Fax: —�
Address: is 10 l 1/2 C , 8'.I,► Ave• City: spOK/Je I.jPd_L( State: WPr Zip: 9���
Contractor
Name: Ec pLuI 804.)E Phone: L 5( 2'/36 Fax:
Address:: j'10 ` 6 e7 ICJ City: e '1 [ 7� State: to-A_ Zip: Q f2
License No: pt.y pot 9,�tI1CJR6 City Business Lie:
/
Contact/Project Manager: R
Name: Rt /rE_6Oi) Phone: 362_._52,46
#OF UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
URINALS
TUBS
SHOWERS(per trap)
Lav/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 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 El VISA ❑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