2014, 10-06 Permit App: BLD-2014-2420 Plumbing FixturesCommunity Development
Permit Center
S`T" kane`` 11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
- Walley. PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial Residential
Project #
RECEIVED
OCT 0 6 2014
SITE ADDRESS: 1 0 30 7 ` E -►v , S pv
-Z pl
PERMIT FEE:
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tiMy P R MI JN 1 E R
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Building Owner
Name: 5'1eU e il Po -0(i, Phone: C 39 _ 2i .sei Fax:
Address: L S 40 b t= grant c) r41Jt, City: /U>pt� pit
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Lti�((� State: j I4 Zip: 9,702....s -
Contractor
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Name: Phone: Fax:
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name:Phone: 9 3q 24 ii.../S-�i: e iii rota)
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
2 -
URINALS
TUBS
SHOWERS (per trap)
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
'
CLOTHES WASHER
I
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
I
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer proofer, carbonator, swamp cooler
2 -
PRIVATE SEWAGE DISPOSAL SYSTEM
PRIVATE
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
I
MEDICAL GAS
INCEPTORS
Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevalley.orq/ under the quick links for Forms, Master Fee Schedule.