2013, 09-03 Permit App: BLD-2013-1755 Water Heater"ohne
Sp
�Valley�
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
PHONE: (509) 720-5240
FAX: (509) 688-0037
Plumbing Permit Application ❑ Commercial „Residential
SITE ADDRESS: 17 Li
13--1 55 -
PERMIT FEE: - 00
Building Owner
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T /� Phone: 6—/ `9 Yf ` ,2 % - / f %/ `% Fax:
Name: �) o k 0 �" A ,A., -ti s L7 r.5 )L G
Address: (
1 32e t r -7-0-A1/4; City: S/v.� u v i e `,/ct �) e State: 4_
Zip: C'-! I ,2 i (a
/
Contractor
Name: Phone: Fax:
Address: City:
State: — -
License No: City BusinessRicp
j C Cf # ft—V- (� — I'75)
Contact/Project Manager:
R F C E 11 V/ E
i
Name: Phone:
�r
SFP 0 3 2013 /
#UNITS
PLUMBING FIXTURE ON A TRAP
I 1
4
TOILETS
CSV PERMIT CF
F
1
URINALS4
TUBS
SUB #L l R E V. I
-
j
SHOWERS (per trap)
___...__.__
..�.._.�_..
SINKS
Lav/Basins, Bar, Floor, Kitchen, Laundry, Utility, Janitor, Photo, X-ray, Food,
Prep/Culinary Meat
a
DISHWASHER
1
CLOTHES WASHER
1
GARBAGE DISPOSAL
0
WATER SOFTNER
U
FLOOR DRAIN
Area, Case, Coil, Trench, Condensate
0
ROOF DRAIN/OVERFLOW DRAINS
U
FOUNTAIN, DRINKING
0/
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
1
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
6
BACK FLOW PROTECTIVE DEVICE
Other than atmospheric type vacuum breakers
MEDICAL GAS
0
INCEPTORS
L2
Signature
CURRENT FEES AVAILABLE AT: http://www.spokanevallev.orq/ under the quick links for Forms, Master Fee Schedule.