2014, 02-26 Permit App: BLD-2014-0337 Plumbing Fixturese
Corill
nity Development
Per enter
1170 Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial J Residential
SITE ADDRESS: 11-132(a • S L-4 •
Pro.. ft —)"O (t -f-- 0S7
RECEIVED
SUB f
FEB 2 b
PERMIT FEE:
REV,.
Building Owner
Name: S - J -I -L et) n15 lw...Ul'_Tll 4 /►`ie Phone: 95I -19D 3 Fax: 32y= -(9 I C`/
State: kjA. Zip: 4q c
Address: 3(D II IV (` LISP�L_ C...
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: SryQA .=Qt.oq LLQ City Business Lic: .1.1l-H'ti.9 loci L,,
Contact/Project Manager:
Name: z'pcs,.Q A ,cictA-NYL Phone: 951-1 ei 0
# UNITS
PLUMBING FIXTURE ON A TRAP
TOILETS
2.
URINALS
TUBS
SHOWERS (per trap)
Z
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
DISHWASHER
CLOTHES WASHER
GARBAGE DISPOSAL
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/'/
WATER SOFTNER
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN, DRINKING
WATER PIPING/DRAIN-IN WASTE
Installation, Alterations, Repair, Reversals
1
WATER USING DEVICE
Ice and/or Coffee maker, hose bib, steamer prooter, carbonator, swamp cooler
3
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 i4tssi �o�c,+INLA
CURRENT FEES AVAILABLE AT: tp://www.spokanevallev.orgi under the quick links for Forms, Master Fee Schedule.