2015, 03-30 Permit App: BLD-2015-0682 Plumbing Fixtures Community Development
Permit Center
11703 E Sprague Ave,Suite B-3
C d�I SpokaneValley,WA 99206
400o
PHONE:
y � PHONE:: (509)720-5240
FAX: (509)688-0037
PERMIT FEE:
Plumbing Permit Application ❑ Commercial x[' Residential
SITE ADDRESS:_17805 E. 4th Ave, Spokane Valley, WA 99016
Building Owner
Name:Ronald L.Saling Phone:509-499-6957 Fax:
Address:17805 E.4th Ave Spokane Valley WA 99016
Contractor
Name:Ron Saling 509-499-6957 Fax:
17805 E.4th Ave Spokane Valley WA 99016
Self City Business Lic:
Contact/Project Manager:
Name: Phone:
#UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS t
URINALS
TUBS
SHOWERS(per trap) t
Lav/Basins,Bar,Floor,Kitchen,Laundry,Utility,Janitor,Photo,X-ray,Food,
SINKS Prep/Culinary Meat 2
DISHWASHER 1
CLOTHES WASHER
GARBAGE DISPOSAL t
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 129 444 _
CURRENT FEES AVAILABLE AT:http://www.spokanevallev.orcil under the quick links 4 F fi?mj tileTte:Fe;'Schedule l S— Oa.
RECEIVED ei)
MAR 3 0 2015
CSV PERMIT CENTER
SUB IREV. I �I