2014, 02-26 Permit App: BLD-2014-0334 Plumbing Fixturesrmokarie
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Community D velopment
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Permit Cent Project #
11703 E Spr•e Ave, Suite B-3 pp
Spokane Valley, WA 99206 RL U t I V L lid
PHONE: {509) 720-5240
FAX: (509) 688-0037 FEB 2 6 2014
Plumbing Permit Application ❑ Commercial ® ResidentialCSV PERMIT CENTE
' FEE:
SITE ADDRESS: '-44 S5 LA
�LIR #
RFV. #
Building Owner
Name: `.5n2mkt_ Ccv57r20c_xt O nL 1,4 L Phone: 951_19 O Fax: 328 � si l I
Address: 3kok a (,PtuS1'eL . City: 57'040rn1E State: WA, Zip: 9 g 2AS
Contractor
Name: Phone: Fax:
Address: City: State: Zip:
License No: C-n.��c, tog Lb City Business Lic: ,A.x.c16 q
Contact/Project Manager:
Name: _-# » Phone: 551 —I 9 0 7�
# 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,
PreplCulinary Meat
f
+ f
DISHWASHER
I
CLOTHES WASHER
GARBAGE DISPOSAL
1
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
3
PRIVATE SEWAGE DISPOSAL SYSTEM
WATER HEATER
If Gas, See Mechanical
I
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 _NltrzorAN.LA`e,Q
CURRENT FEES AVAILABLE AT: 'tp://www,spokanevalleV.orq under the quick links for Forms, Master Fee Schedule.