2013, 09-11 Permit App: BLD-2013-1822 Plumbing Fixtures Community Developmenti t U , ),
Permit Center r-
S ne 11703 E Sprague Ave,Suite B-3 � wti 1
SpokaneValley,WA 99206
PHONE:HONE: (509)720-524040 �(
FAX: (509)688-0037 Tic) - ? ( V
PERMIT FEE: (93.en)
Plumbing Permit Application ❑ Commercial Residential
SITE ADDRESS: I % \\% (4"4_' S 0a c4& l/ 17 `-u°4- ei A6
Building Owner
Name: ge`( �1,-4- C Phone: Zai ( Cr 763 Fax:
Address: / / l 2..0 e cf e-- City: ,pz,KO.�I e_ ✓ State: �/-- Zip: 9. /6
Contractor
Name: Phone: Fax:
Address: 5,00kta4f A z2C1 Ci State: Zip:
License No: / City Business Lc: 4
Contact/Project Manager: I Project .:,`± u` -/-,0(- - `c r "
s e. v t t , !
Name: Phone: P.:.w'„, 1.4 4 _/is r
y- #UNITS
i 3 4 ,,-'{1sZA ' I
PLUMBING FIXTURE ON A TRAP 9
TOILETS
3
URINALS
CSV PE" v .,. CENTER 0
�
TUBS S U}B -rx F _ -.,/ L 7—__ 3
SHOWERS(per trap) _ �M
Lav/Basins,Bar,Floor,Kitchen,Launfry,Utility,Janitor,Photo,X-ray,Food;-
SINKS Prep/Culrary Meat
DISHWASHER 1
I
CLOTHES WASHER
GARBAGE DISPOSAL /°�
WATER SOFTNER `-�
FLOOR DRAIN Area,Case,Coil,Trench,Condensate I
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 0
WATER HEATER If Gas,See Mechanical J k
INDUSTRIAL WASTE PRETREATEMENT Q
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.spokanevallev.orq/under the quick links for Forms,Master Fee Schedule.