2015, 01-12 Permit App: BLD-2015-0047 Plumbing Fixture •
Community Development
Permit Center PxO ect l5-DoL�
Sn okane 11703 E Sprague Ave,Sul
Spokane Valley,WA 99206 R E C E I V E DTh
Valley. PHONE: (509)720-5240
FAX: (509)688-0037
.IAN 122015
EBRMiT FEE:
Plumbing Permit Application 0 Commercial &Resi iaL, M 1 t N R j
SITE ADDRESS: 73P-( E 6riA 5rdi-ysku6 ifr RV
Building Owner
Name: Tovi Rota,4t70. • Phone:(e,tc1) (47(0_1(673(673 Fax: 6J
Address: 73/'/ E &ti^ City: l d lt
�vv7 State: wZip: /Z Z
Contractor
Name: Phone: Fax:
•
Address: City: State: Zip:
License No: City Business Lic:
Contact/Project Manager:
Name: Phone:
#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
WATERSOFTNER -
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 0��c�S�
CURRENT FEES AVAILABLE AT:http://www.sookanevallev.oro/under the quick links for Forms,Master Fee Schedule.