2014, 08-19 Permit App: BLD-2014-1980 Plumbing Fixtures Community Developmen p i F r t''' ! a__
014-1°0
SY��T��� Permit Center
7��'JlSAlle 11703E Sprague Ave,S iteB-3 RECEIVED
j VAlley° Spokane Valley,WA 99 6
PHONE: (509)720-5240 IAUGs 2014FAX: (509)688-0037
CJ's/ PERMIT CENTER ( PEWIT FEE: I
Plumbing Permit Application 0 Commercial g Residential
SU8 * L ! REV. -r ; I
SITE ADDRESS: _ -�--
Building Owner
Name: ./A.i--r �j�hfs-/J 7/}�- Phone:S .9zt/...,z;?//Fax:- ��ax:
Address: /$/.5.7:11 G� / rA— ,e.../ City: s /y/ •He,p,hate
: zIJGt., Zip: 99
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Contracto
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Name: Ph e:s 6� y.3' 9 :
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�of it A City: / State: / 4. Zip: 9*-Iz zi
Address: ', O y.- .5c r'/`f/!e• D/'C. _ do 1.E✓GZ
License No: City Besiness Lic:
Contact/Project Manager: „L.�e,77--./7-P Y
Name: Phone: 3-z-5,7 .:_yc/ g-e cig
I #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
WATER SOFTNER •
FLOOR DRAIN Area,Case,Coil,Trench,Condensate
ROOF DRAIN/OVERFLOW DRAINS
FOUNTAIN,DRINKING f
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
Signatur .."---t--7
CURRENT FEES AVAILABLE AT:http://www.sookanevaliev.ora/under the quick links for Forms,Master Fee Schedule.